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Meter Swap { � Request Number: 16116 Public works Division Service Request Problem Address: 729 Kimball St Requested By: Newah(owner) Department: WATER Address: No a�ress provided Problem/Issue: INSTALL AMR METER Phone Number: 612-417-2941 Schedule te: 2017-06 7 � Sc6eduled 1ime: 10:00:00 � ACITON NEEDED:Number is for renter Created by: Beth Kondrick Date Created: 2017-06-23 ACTION T . � � I ��� __._........__.._....� .___.......................,�_.__..__ ........_.............._..._._ _.___ s Status: In Progress Submitter Has Been r, Co�acted Date Completed: Completed by: �- 2�-l� _T_"' �4r- � 3io- �i3 �5� ��3 City of Fridley �� � Water Departrnent S ���2 6431 University Avenue NE Fridley, MN 55432 763-572-3566 ��`Ne hereby authorize the�ty of Fridley and/or its empioyees 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 all interior plumbing. (Per C'ity 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,wails,floors or the curb stop box and service line. In understand i am also required to obtain a permit prior to any worlc,if necessary. FINAL METER READING(old meter) � ���`'�� Plame• W�+�]VL� Address L�� 1���y���' �� Phone Number�� ��� '� 1� � Date � ��� 1� �Signature Witness Signature 1 OLD METER# � �J �� � OLD READING �J� � ��—;cJ NEW METER# "'"�Z2-�ZQ I NEW READING 1_1 ERT# � I �I ���� FRIDLEY 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 any house or builtfing for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 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 until an inspection has been made and such connection and the work incident thereto has been approved by the C'rty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a wate�service lead has been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shail be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the matn 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 mairrtenance and/or repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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�nished grade of the land or property. (Ref 638,1156,1191)