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Meter Swap , ..• . Request Number: 12875 Public works Division Service Request Problem Address: 7455 Hayes St Reqnested By: Dustin Robb Depsrtme�: WATER Addresac ��SS Hayes St Fridlcy,MN 55432 Problem/Iasne: INSTAL.L AMR ME'IER Phone Number: 320-583-2930 Sc�eduledDate: 2017- 1-24 Schedeled'Itme: D2:00:00 �U�S ��, � AC'IiON NEEDID:Install AMR CYe�ed by: Beth Kondrick D�e Cre�ed: 2017-01-13 ACTION TAKEN: ��1n--S�-��c� I���-�- 5tatus: In Progress Snb�uitter Ha�Been r, f^ Co�uted i Date Completed: � �.w�— �,� Completed by: `�r,� �a.�- �o��r rrsaoey Water�De�artment 3� �, ,J'�p� ��� — (�� 6431 l�niversityl�w�nue PlE ,�- Fridtey,MiU 55432 > 763-572-3566 S� � ��` )jwe hereby authorize#he City of Fridley and/or its emptoyees to do what is necessary to replace the water meter. I understand that the property�wner is liable for the water line from the main to the premise and aii interior pturnbing. (Per City code 402.06) i also hoid the City of Feidley andJits employees harmless#or eny damages that may occur while doing this operatson. This to inciude,but not limited to valves,piping,wails,fioors or the curh stop box and service line. in understand i am also�equired to obtain a permit prior to any wark,if necessary. FiNAL METER READtNG(aid meter) __L � � " ��� Name• ��-�J�L V'� �7�(J'J AdQress E_- t �J �"'v� ��- Phone Numbev � 1�U 3 � L�i J� Qate 1��� V 1�7 Signature Witness Signature � OLD METER# �� ���� � OLD READtNG__� "� �/� � NEW METER# � 1� 1�� 11 ! G� N�W READING � ERT# � ��� C�-] Ia FRIOLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER ADMfNISTRA'fION (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 municipal system and arry house or huiiding for which the application is made,the owner or corrtrector sha[I be required to obtain a permit for such connection,and shatl pay a permit fee as provided in Chapter 11 of this Code. After such cons�ection has been made,the Water and Sewer Department sfiall be no�tified. It shail be untawful to cvver any connecting fine u�ttil an inspedion has been anade and such connection and the worlc inaderit thereto has been appro�d by the City as a proper and suitable wnnection. 402.06 REPAIRS AAiD MAINTENANCE TQ CONNECTION After the initial connection has been made to tfie water service cus�b stop box or the sewer lead at the property line o�a water service lead bas been extended#o the pro�rty ti�e for connection,the appiicarrt,oarner,or occupant or user of such premises shalt be tiabie for all repairs required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. if the properly owner requests maintenance service or repairs be pesforrr+ed by the City,the properCy uwner shail be charged for the cosCs af the maintenanoe andJor repairs,including necessary street repairs at a rate seC annualty by an administrative paliry. It shaN be the responsibitiiy af the applirarrt, owner,occupant or use�to perfvrm standarci maiMenance of the sewer service line from the premises to the main induding debris slearing or root cutting and to maintain the water service curb stop box#or operability and at such height as wiil ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)