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Meter Swap 4 � Request Number: 16492 Public works Division Service Request _ __ Problem Address: 604 Lafayette St Requested By: Ashley Department: WATER Address: No address provided Problem/Issue: INSTALL AMIt METER Phone Number: 612-250-6676 Scheduled Date: 2017-08-02 �,,p Schedul Time: OS:00:00 - �t�-� `"CJ ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-07-27 ACTTON TAKEN: .............1.�L��-��,�,\..................�����........................................................................................................................................................................................................................................................... .............................................................................................................................................................................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................................................................................................................................................................................................. .............................................................................................. ...................................................................................................................................................................................................................................................................................................... ................... ........................................................................................................................................................................................................................................................................................................................................................................ Status: In Progress 5ubmitter Has Been r Contacted Date Completed: Completed by: Hours T� 1��- �- ,�-l� `'1 ► �i���Fr6tlleY �� t� '"� j 3������� � �� 1h/a�ea-�epaa-tanent �.{ ! �43�l�aaiv�e-sity d#v�nue 4VE ,�–�'1 � � � Frasll�y, S41{V 55432 7f 3-5?2-356� 3Jwe hereby authorize the City of�ridPey artd/or its employses to do what is necessary to repiace the water rneter. 1 uraderstand that the oroperty owner is 9iable far the water line from the rnain to the premise and ell inter6or plumbing. {Per�City code 4�2.06) I also hold the City of Frsdley and/its employees harmless for any daenages that may occur while doing this operatione This to include,but not 9imited�o valves,piping,uualis,floors or the curb stop box and service line. !n understand i am also require to�btain a perrnit pr6or to aroy wortc,if necessary. FINAL METE92 READIAtG(ald me#erJ ��� � Name: ��'C,7'l��'�iv� Address � �'`' �� � Phone lYumber���i !,–�— F�'`�•�' /�1'J �ate �� � � � 1 � Signature Witness Signature � OLD �VIETE�t# ��� �" � \� OLD i�EAD9NG_����� 1 1� fYE1f�/MET�ER#_ 1� J����I NE9ll9 READlfVG `� ��1'# �lL.-" 1�. ���� FRIDLEY CBTY CODE �HA��Eli 402.WAT�R, ST�RM lhtATER l�ND SAN9TAli'f SEIIVER ADMlN�STRATION �i�ef Ord No 113y 464,565,566, 62�,638,562,922,988, 1144., 1156, 11��.} 402.5 PERMIT FEE � Prior to constructing or repair�f any water of sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for�uch connection,and shall pay a permit fee as provided ira �hapter 11 of thfs�ode. After such connection has been made,the Water and Sewer Department shalf be notified. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident ti�ereto has heen approved by the City as a �roper and suita6le connection. d02.06 REPAIRS AiVD MAdtVTEAIANCE TO CONNECTION After ttse dnitiai connection�as been made to the water service curb stop box or the sewer iead at the properly line ar a water seroice lead has been e�ctended to the property 9ine for ionnection,the applicant,owner,�or occupant or user of such premises shall he liabte for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner requests maintena�ce service flr repairs be performed by the City,the property owner shall be charged for the casts af the maintenance andJor repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant, owner,accupant or user to perform standard maintenance of the sewer service line from the gremises to the main including debris clearing or roo#cutting and to maintain the�roater senrice curb stop 6ox for o�er�C�ili#y and at such height as will ensure that it re ains above the finished grade of the land or property. (Ref 638,1156,3.191)