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Meter Swap � - Request Number: 12786 Public Works Division Service Request Problem Addresa: 7391 Melody Dr Requested By: Clark'h�eilmazm 7391 Melody Dr DepArtment: WATER Address: Fridley,MN SS432 ProW em/Issue: INSTAL.L AMR METER Pl�o�Nu�ber: ?63-784-3641 ScheduledDate: 2017-01-13 � ScLeduled'flme: 09:00:00 � � ACIION NEEDED:tnstali AMR Crexted by: Beth Kondrick Date Cre�ed: 2017-01-09 AaC"IION TAI�N: ���'�'£-�_______..._L`�'� Stxtus: In Progress Sabmitter H�u Bcea r, Coatuted Date Completed: `— ��--'"�� Co�pleted by: City of Fridley Water Department � � 6431 University Avenue NE � ��--��6y� �� Fridley,MN 55432 / 763-572-3566 C f'� I �{ � �) � ,/ U � � 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior plumbing. (Per City code 402.06) I alw 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,walls,floors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,ff necessary. � I"�'-y��,( �;:,":� �? FINAL METER READING(old meter) �' , Name: �,.��r� ��,t t I�ah v� Address ��_ l I �� �(fi��/ �', Phone Number `�-C'J v� r�h l� Date �� 1�^`� �! �--- '� Signature�✓`'� �� Witness Signature ✓�— OLD METER# -1 3 Cn �-�j � �7� OLD READING�� C� l.-7J� NEW METER# "� � I �� I �/ NEW READING � ERT# � v���� �� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord Mo 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 conneding the existing municipal system and any house or building for which the appllcation is made,the owner or contrector shall be required to obtain a permit for such connection,and shall pay a permk fee as provided in Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cove� any connecting line ur�til an inspection has been made and such connection and the worlc incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNEC770N After the initial connection has beee made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such prcmises shall be Nable for afl 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 annually by an administrative poliry. It shall be the responsibility of the applitant, owner,occupant or user to perform standard maintenance 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 operability and at such height as will ensure that it remains above the flnished grade of the land or property. (Ref 638,1156,1191) t � i �...:� _ ,