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Meter Swap , � Request Number: 15154 Public Works Division Service Request Problem Address: 185 Hartman Circle Requested By: Christine Dunn Departmeat: WA'IER Address: No address provickd Problem/Issue: INSTALL AMR METER Phone Number: 612-799-5258 � Schedtiled Da • 201?-OS-1 l `,` Scheduled Tlme: 10:00:00 i � c� Q ACTYON NEEDED: x<',� ��jJ� , Created by: Wendy Hiatt Date Created: 2017-OS-OS :; � ACTION TAI�Ns , _........_........_............_... __.._.____-��,-�_5._�...:�((ecl'.....w._.��..__.�.�.�i�?..---- _.____._--_w------.-._ Status: In Progress Snbmitter Hns Been �, -- Contacted Date Completed: ��,�—�''7 Completed by: ���� � . � , �.'T�. �,� !}. � ;�-. '..��� `� �. � . . . l�1 � t���'� �D/ City of Fridley �j�/ Water Department �� ���� 6431 University Avenue NE C Fridiey,MN 55432 iJ 763-572-3566 �/We hereby authorise the City of Fridley and/or tts employees to do what is necessary to replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and ali i�rteriw plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur whtle doing this operation. This to include,but not limlted to valves,piping,walls,floors or the curb stop box and service line. ln understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter� "`� l l v �` �� CI��i S�Sr�, �,�,�'1, 1�� ��,,v�".��'h�+M, (.�(/�� Name• _ Address Phone Number `�I�1� / I — ✓p�✓(J Date_ _ �✓ � ` ✓ � ( Signature Witness Signature �--_ OLD METER# 1� � I c.b� /v OLD READtNG �G'I�� � NEW METER# I l OIU�`� I� NEW READiNG � ERT# � ( 1 � 4C� UO FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing munitipal system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and SEwer Department shaN be notified. It shall be unlawful to cover any connecting line until an inspection has been made and wch connection and the worfc incident thereto has been approved by the City as a proper and suitable connedion. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the inttial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the appficarn,owner,or occupant or user of wch premises shall be liable for all repairs required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the property owner requests maintena�ce service or repairs be performed by the C'�ty,the property owner shali be charged for the costs of the maiMenance and/or repairs,including necessary street repairs at a rate set annualfy by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer serv�ce line from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) .�