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Meter Swap � Request Number: 12464 Public works Division Service Request _ _ _ _ __ _ _ __ __ __ Problem Address: 7451 Lyric Ln Requested By: Hazlan Mahowald Department: WATER Address: No address provided Problero/Issue: INSTALL AMR METER Phone Number: 763-784-9022 Schedul d Date: 201 b-1 Sc6eduled 15me: 11:30:00 i � G ��N��_ �� ACTION NEEDED:AMR Created by: Wendy Hiatt Date Created: 2016-12-15 ACTION TAKEN: _..___._..._._�'.!�`�':�t..!�_N:�.__._..........'�_�'.��............_.__...__.___.____ ._. _._. _. _.. ____.. _. _._____.__..._ ................._............................................................................._..........._..._._.................................................._............_........_....._.........................._.........._..........................._.................._..._..._.........................._..._..___._................................ Status: In Progress Submitter Has Been r.. Contacted Date Completed: j Z-- 1� ,._.1 � Completed by: i �..�.�... � � , ;,, �;� � G 1 �,- �..,.a.�- City of Fr'sdtey �� t, � Water Department �J • 6431 UniversityAvenue NE Fridfey,MN 55432 � I �..� j j-l� � �U� ` 163-572-3566 �/we �� l��"� ��El�LG'�L�i� hereby authorize the City of Fridley and/or its employees to do what is oecessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alt interior plumbing. (Per City code 402.06) i aiso hold the City of Fridley and/its employees harmless for any damages that may occu�while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required to obtain a permii prior to any work,if necessary. FINAL METER READING(old meter) � " �� /� `°� Name: ��Lv(Ul 1� �'�G�.�7�..r�i.,� � Address �_G� '1 �l► V��- �� Phone Number `� 3`� �j�"' � C3 � Dat 4Z� �� `� �.- _ �' .� Signature ��""C �� -� Witness Signature � �`�� ``� OLDMETER# �� t � � �? � I OLD READING � � � LI � �Cp NEW METER# �''I [ � � � �� NEW READING � �� ERT# �G � C; �� a � � 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 building for which the application is made,the owner or contracCor 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 inspedion has been made a�d such connection and the work incident thereto has been approved by the City as a proper and suitable conneccion. 402A6 REPAIRS AND MAINTENAfYCE TO COAINECTION After the initial connection has been made to the water service curb stop box or the sewer{ead at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,or accupant or user of such premises shal{be liable for aN repairs required to any water line and sewer lines necessary for 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 annuaily by an administrative policy. It shall be the responsibility 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 finished grade of the land or property. (Ref 638,1156,1191) --- - – �--.. __ ._ , v3-�I ��.��tS_��3J City of Fridley Water De�artment Address �'r�_�� Name }�Ql.,�) .M A�Ow�,1,�'J Date �� Old Meter Number , � � Old Meter Reading Replacement No. �� oy Replacement Reading � Replacement Make �G� Remarks: �LO rn�� Signed — ..�.�._.,,.�.. , ;, .._. .�_ � t ;