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Meter Swap S ' Request Number: 15669 Public Works Division Service Request Problem Address: 382 Ironton St Requested By: Michael Cane Depnrtment: WATER Address: No a�ress psovided Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 763-780-0304 Schednled Date: 2017-Ob-OS � Sc6ednled 11me: 10:00:00 "�L AG'IION NEEDED: Created by: Beth Kondrick Date Crsated: 2017-OS-31 ACIION TAKGN: i"1.���� �� .�._.__ Statas: In Progress ���er Haa Betn r. Cont�ted Date Completed: Completed by: � -� �� � �r � Ci#y��Fridley ����/� I , /, �y _�� • Wa�er Department �� �jU a 6431 l�niversity Avenue NE ' `/ FrAdley, MP1 55432 S� # �!% �� 763-572-356� 1/we hereby authorize the C'ity of Fridley and/or its employees to do wl�at is necessary tc replace the water meter. I understand that the property owner is liabte for the water line from the main to the premise and all irrterior plumbing. (Per City code 402.06) 1 also hold Lhe City of Fridiey and/its employees harmless for any damages that rnay occur arhile doing this operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and seroice line. In understand!am also requir� to obtain a permit prior to arry worbc,if necessary. F9NAL MEfER READ{PtG(otd meter) ���� � �O Plame: ���/Y� l ��. Address��� �� c�� Phone Number��E'T��'� b `J�J_ t Date `V �~ �� Si nature_� Witness Sigrsature_� OLD METER# � 1��Z•- l 1 � � OLD READING _ � �v �, �j � NEW METER# `�t�����Z��U NEW READING � E�r# �1 222� '-� �Z FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION � (lief Ord No 113,464,565,56b,629,638,662,922,988,1144,1156,1191) 402.5 PERIMIT FEE Prior to constructing or repair of any water of sewer line cannecting the existi�g municipal system and arry house or 6uilding for which the appiicaition is made,the owner or contractor shall be required to obtain a permit for such conaertion,and shaii pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be natified. It shall be unlaarful to cover any connecting line urrtil an inspection has been made and such connection and the work incidertt thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AIVD MAINTENANCE TO COIVPlECT101V After the inifiial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water seroice lead has been extended to the prvperty line for connection,the app(icarrt,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer tines necessary for connection of the premises from the main to the premises. ff the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenartce and/or repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. It shall be the responsibility of the applicant, owner,occupant ar user to perForm standard mairrtenance of the sewer senrice line from the premises to the main including slebris dearing o� root cutting and�o maintain the water service curb stop box for operability and at such height as wi(i ensure that it remains above the finished grade af the land or property. (Ref 638,1155,1191j