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Meter Swap t ` Request Number: 16072 Public works Division Service Request Problem Address: 634 Kimball St Requested By: Judy Luppino �partment: WA1ER Address: No a�ress pcovided Pio(rCem/Lcsue: INSTALL AMR ME'IER Phone Number: 763-786-2183 Schednled Date: 017-06- 6 Schednled 1'ime: 01:00:00 � � � ACTION NEEDED: Crexted by: Beth Kondrick Date Created: 2017-06-20 ACITON TAI�N: ���' � ___..._......._.........__. �--�5��_1��.. ��'�.--� Status: In Progress Snbmitter Has Been r. Contacted � Date Completed: � _� _t� Completed by: � `, � Hours �''a'- � � � ,�� �;�,, Ci#y of Fridley �O � ./ r 2�b�• � ' ' Water Departrnent �/�.�. � I C`j ' 6431 Universifiy Avenue NE `��'� � Fridley, MN 55432 763-572-3566 ��11te hereby authorize the Gty of Fridiey and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and afl interior plurnbing. (Per City code 402.06) 1 also hoid 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 abtain a permit prior to arry work,if necessary. FINAI METER READING(old meterj � �� � � � � Name:_ �Y�O�1 �p'�`f�l� Address �3� ����V�,b(�1;1 ��- Phone Number ��3— ���4� oti 4 D� Date �"' �••��- V i �Signature ���,� ` u ` � Witness Signature OLD METER# V 7 � ����� OLD READING � v� � � ` " NEW METER# � 1 d�p� l0 3 3� NEW READING � ERT# �� �oL 1 ly I FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWE'It ADMINISTRATION (Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to construding or repair of arry water of sewer line connecting the existing municipal system and am/house or building for which the application is made,the owner or coritractor shall be required to obtain a permit for such connection,and shall pay a perm�t fee as provided in Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shail be notlfted. It shatl be uniawful to cover any connecting line until 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 REPAlRS AND MAINTENANCE TO COPINECTIOni After the initiai mnnection has been made to the water service curb stop box or the sewer lead at the prQperty line or a water servlcx tead has been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for ail repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property rn�rner 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,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t, owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or root cutting and to maintain the water service curb stop box for operabil'�ty and at such height as will ensure i�at it remains above the finished grade of the tand or property. (Ref 638,1156,1191)