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Meter Swap , Request Number: 15604 '� Public works Division Service Request Problem Address: 100 Logan Pkwy Requested By: Curt Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 651-356-2955 Scheduled Date: 2017-06-02 5cheduled Time: 08:00:00 . ' �� ACTION NEEDED: Created by: Wendy Hiatt Date Created: 2017-OS-30 ACTION TAI�N: � � � I v V� � • M ................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... � .................................................................................................................................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................................................................................................................................. Status• In Progress Submitter Has Been r ' Contacted Date Completed: � �' �r— � � Completed by: S �� ity o#Fridley �� f ✓ �T�(� r�2 Wa�er Departe�aent �� i�� 6431!lniversity Averoue NE � Fr�dley, MN 55432 � 763-572-3566 r0'"�e hereby authorize the City ofi Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the property�wner is tiable for the arater line from the main to the premise and all interior �slumbing. (Per Lity code 402.06p I also hold the City of Fridley and�its employees harmless for any damages that may ocar while doing this operation. This to include,but not limited to vaives,piping,walls,#loors or the curb stop bax and service line. In understand t em also requirE to abtain a permit�►rior to any work,if necessary. F9iVAl N1E7'€R ltEAD11YG(oid meter) � �� `�'" "� � Name: �� Address �� ('jl.V1 � �, �� (� ( - � - �q,5 -r--- Phone Number � Date Vl � 1 �� Signature Witness Signafure OLD MEl'ER# " �" �✓�� OLD READ9NG ��"" �� C � 6V�1N �ETER# �- I�� t �� NEV1/ i�EADING � E�T#_ ��,� � FR6DLEY CITY CODE CHAd�TER 4�2.�1VA�ER,ST�RMI WATER AND SANt�AR!'SEWER ADMINIS�'liAT10N (�ief Orcl No 113,464,565,566,fs29,538,662,322,985, 1144,1156,1191j 402.5 PERMIT FEE Prior to�onstructing�r repair of any water of sewer dine connecting the existing municipal system and any house or bui(ding for which the application is made,the owner or contractor shall be required to obtain a permit fior such connedian,and shall pay a permit fee as provided in Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Department shall be rtotified. It shall be unlawful to cover any connecting line unti(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.�6 REPAIRS AIY[3 MAINTENANCE TO�ONNECI'IOtV After the initial connedion has been made to the water seriice curb stop box or the sewer iead at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,flr occapant or user o�f such premises shalt be tiable for al(repairs required to any water line and sewer(ines necessary#or connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annual(y by an administrative policy. ft s(�al(be the responsibi(ity of the applicant, owner,occupant or user to perForm standard mairrtenance 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 finished grade of the tand or property. (Refi 638,1156,1191� v�� _ �� v � City of Fridley 1 �S��' � t� Water Department . . , ),,, Address�� (1'l: �'�I�t/`�/ Name_�,�;t�,,'�c�q Date 1�� s�'� 1 Old Meter Number�(� (� 3 y S � Old Meter Readin ��c�-u � r�-- Replacement No. G� S O�"I � �Replacement Reading Replacement Make i3�.�-g�r --�..._-� ..--'��S S� Remarks: �� a-�� TCc� Signed�.�i.%;1�,� _--- ----�-��.,.�_--�r-�,T�—__--�, --. ��:/`} (�� Ll '��'�� City of Fridley ,, /� Water `v � _ Deparhnent Address��.+(� �C>� f'c�.� •... �— Name_�`; I�� Date__ �,� —�{'� � Old Meter Number (� C� 5'� Old Meter Readin (��,(� (� Replacement No. (�� Q�'� Replacement Reading `Y Replacement Make_��/� .,�—�—_._.�' . ��fR .._..._____, � Remarks: d� /'�Q,TG�'�},Z� �., . Signed . , .. -- - -;-:___._.__ �� ;