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Meter Swap ` Request Number: 16032 Public works Division Service Request Problem Address: 616 Janesville St Requested By: Mazy Kime Department: WATER Address: No address provided Problem/Issue: INSTALL AMIt METER Phone Namber: 763-614-4049 Scheduled Date: 2017-06-19 � Schednled 1lme: 10:30:00 �� t ACIION NEIDED: Created by: Wendy Hiatt Date Created: 2017-06-16 ACTYON TAI�N: Status: In Progress Snbmitter Has Beea r Co�acted � Date Completed: Completed by: - , • City of Fridley `� 1 D � S'Z �s,� �� Water Department .J � 6431 University Avenue NE �b� I'� �� Fridley, MN 55432 ��� 763-572-3566 t(we t "- " l\ n �^ hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. understand that the property owner is liable for the water line from the main to the premise and ali iriterior pluFnbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. in understand i am also required to obtain a permit prior to any work,if necessary. FIPIAI METER READING(old meter) y������ Name: " ""`' �,� l�)�. Address_�G l � �.J a n �'S U � L� �fi�� Phone Number ` �� I -l�� Date � �` Signature Witness Signature OLD METER#_ I ��C�?uI vZ OLD READING I�I a,�j � S C"� NEW METER# � t �`-v��p�� � NEW READING�� ERT# 7a����U� FR{DLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY 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 municipal system and arry house or building for whlch the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali 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 notified. It shall be unlawfui to cover any connecting line urrtil an inspection 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 MAINTEWAPICE TO COWNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has been extended to the property line for connection,the applicant,owner,ar occupant ar user of such premises shali be liabie for all repairs required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. ff the properly owner requests maintenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the maintenance andJor repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaii be the responsibility of the applicant, owner,occupant or user to perform standard mairrtenance ot the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the water service curb stop boz 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)