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Meter Swap t Request Number: 15447 Public Works Division Service Request Problem Address: 1250 Norton Ave Requested By: Michelle wBulls Eye Properties Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-295-6566 Scheduled Date: � , 17-OS-24 Scheduled Time: 11:00:00 U� � I � ACTION NEEDED: Created by: Wendy Hiatt Date Created: 2017-OS-18 ACTION TAI�N: ��1�� `t`� ��'��-- ................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................................................................................................................... .................................................................................................................................. .........................................................................................................................................................................................................................................................................................�� .............................................................................................................._ ................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... Status: In Progress Submitter Has Been r Contacted Date Completed: �� a � � Completed by: c!r�"r � G(,�/� . . ' City of Fridley �/ � � �/� �� Water Departrnent 6431 University Avenue NE � � Fridley, MN 55432 � 763-572-3566 ��We hereby authorize the City of Fridley and/or its employees to do hat is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees ha�mless 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 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) v �`�� Name. �+\��-,��-�� Address �,"�� / ��'SC�1/\ �� Phone Number 1�l:' .� �CL� �� %Date � ^ � `— �� Signature Witness Signature . . (r ��/�� 'i,,,�,� �g-�►�► �� OLD METER# �� - l, � �� '��"'`��"J OLD READING `y` l �,�'�"`-� NEW METER# .." �cl`�1,�71 �-(�C�C��' Ci�� f'� NEW READING � ��- � - � • ERT#_ �7� �� f I � 7 J a.��'jQ FRIDLEY CITY CODE ��? �� ,�,/-*�'��r ER 402.WATER,STORM WATER AND 5� �/� ``"��,�,� ADMINISTRATION I----�, � � M�'^"" �'" L3,464,565,566,629, 638,662,922,9 (,�-Q� �'�"``' `� � 402.5 P �}.t��N-��"-- ��j�'� " " ` "� ��"" Prior to �'�,,L��? ;ewer line connecting the existing municipal� �yt�� — applicati, Iw"� � �all be required to obtain a permit for such cc ___, _._,,..o.,ro�.,Ncrma ree as provided in Chapter] ._.,nnection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any conne _.��i 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 CONNECTION After the initial connection has been 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 connedion,the applicant,owner,or occupant or user of such premises shall be liable 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 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 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 af the land or property. (Ref 638,1156,1191)