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Meter Swap Request Number: 12335 Public works Division Service Request Problem Address: 7320 Jackson Street Requested By: Jim Svweeney Department: WATER Address: 7320 Jackson Street Fridley,MN 55432 Problem/Issue: INSTALL AMR METER Phone Number: 763-780-2319 Schedul ed Date: 2016-12-OS Scheduled'Iime: 09:00:00 � � AGITON NEEDED:Install AMR Created by: Beth Kondrick Date Created: 2016-12-02 ACTION TAI�N: ........_._�:��_��I-�1:_l 1�:_...�..�.............._._._..__............._�.._�.....____.........._..__.___..._..........__............._..._.____..............._......____._._...___._. _.____._. __._._._._._._ . ......... . .... . Status: in Progress Submitter Has Been � Contacted Date Completed: Completed by: ��- s��- l�� C�� Z,,--�� ` -�, �� -5--� �� City of Fridley Water Department 6431 University Avenue NE �^�, Fridley,MN 55432 � � �� l✓ 763-572-3566 I/we hereby authorize the City of Fridley andjor its employees to do what is necessary to reptace the water meter. 1 understand that the properry owner is liable for the water line from the main to the premise and ail interior plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,uiralis,floors or the curb stop box and service line. In understand I am aiso required to obtain a permit prior to aay work,if necessary. FINAL METER READING(old meter) ��v� ,� � Name:��71�-i'1�Llrzs �Ct>�/Zl�� Address � �� [/f�-�CSD`� � � Phone Number 7d'' � ' 7�x' � .� I✓ Cl Date �2 � � — l�i ✓ Signature �tness Signature 1 r �/ � � D�' � �,,,, u-r �-1`!�'6 9ss�� s3t. OLD METER# ` ` � � � � �'�"`�� k� � 2,�G, �U„o,,l.,,o�pt,ws, . OLD READING � ( ��v o � NEW METER# � ! � 1 v� � � NEW READiNG v ERT# � $� �� FRIDLEY CtTY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRA710N (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer Itne connecting the e�cisting municipai system and any house or buiiding for which tfie 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 �hapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line uritii an inspeccion has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTIOPI After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property li�e or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shaN be liable for afl repairs required to any water line and sewer tines necessary for connection of the premises from the main to the premises. If the property owner requests maiMenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/ar repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing 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 flnished grade of the land or property. (Ref 638,1156,1191)