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Meter Swap � � Request Number: 12450 Public Works Division 5ervice Request Problem Address: 7331 Memory Ln Requested By: Jott Miller 7331 Me�ry In Departffie�: WATER Addreas: Fridley,MN 55432 ProMem/Isaae: INSTALL AMR METER Pho�Number: 763-245-8310 :�: i Scheduled Date: 2016-12-19 Sc6ednled 11me: 01:30:00 � �3. ACIION NEEDED:Install AMR Crexted by: Beth Kondrick Date Crented: 2016-t 2-14 AC'lION TAI�'.N: � .��5�,r1� �I�'I,�---, Statua: In Progress sebmftter H�Been � , . Contacted Dxte Completed: ��,_ IC.� J--j� Compieted by:� Hours �' . ��. ' City of Fridley � (� �� . � Water Department � ` 6431 University.Avenue NE Fridley, MN 55432 � ��_�'f 5--���� 763-572-3566 1/we ���` �i���-�'� hereby authorize the City of Fridley and/or its employees to do what is necessary to reptace the water meter. 1 understand that the property owner is tiable for the water tine from the main to the premise and ali i+rterior plumbing. (Per City code 402.06) I aiso hold the C'rty 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 service line. in understand 1 am also required to obtain a permit prior to any wortc,if necessary. FINAL METER READlNG(old meter) lX � � ' �� � Name: �V1 �"l��,��� Address i'2- C � (� �-�` Phone Number ��� � ��� Date l � � � ��✓f ( �_ �,Signatu , `._. _�._,_.�'� Witness Signature � 1 U � �^- OLD METER#_I� v�-� I J CJt 7 OLD READING_`Y �L' i l�� NEW METER# 6� � I �� �� NEW READING </ ERT# lfJ �(���✓ 1 �C7 FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to construding or repair of any water of sewer line connecting the existing municipal system and ar�y house or butlding for which the application is made,the ovrner or corrtractor shall be required to obtain a permit for wch connection,and shall pay a pertnit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notitied. it shall be unlawFul to co�r 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 REPAIRS AND MAINTENANCE TO COfYNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine or a water servke tead has been extended to the property line for connedion,the applicaM,owner,or occuparit or user of sud�premises shall be liable for all repairs required to any water line and sewer lines�ecessary 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 mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shali 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 inc{uding debris dearing or root cutting and to mairrtain the water service curb stop box for operability and at suct�height as will enwre that it remains above the finished grade of the land or property. (Ref 638,1156,1191)