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Meter Swap � Request Number: 15607 Public Works Division Service Request Problem Address: 7857 Pearson Way Requested By: Georgeanne Departmeat: WA'IER Address: No address provi�d Problem/Issue: 1NSTALL AMR METER Phone Nnmber: 571-34�9 Schednled Dat : 2017-OS-31 Sc6edule�11me: 10:30:00 � ` 5�-- , ACFION 1�EEDED: Created by: Wendy Hiatt Date Crente�: 2017-OS-30 ACTION TAKEN: �1�5�� '�►'�- Status: In Progress Submitter Has Been r Contacted D�tte Completed: Completed by: �- 3�� - � �oty of�r6al�y �� 3 - Sr � s2� �� r � lA/ater Depart�vaent r 5431 lJniversity Averaue NE C� � (( ��.� F�od9ey,MN 55432 � �� 763-572-3566 �j""�e hereby authorize the City of Fridley and/or dts employees to do what is necessary to replace#he water meter. I understand that the properly owner is 6iabte for the water line from the main to the premise and all irrterior plumbing. (Per�ity code�02.06) I also hold the City of Fridley and/its employees harmtess for arry damages that may occur while doing this operation. This to include,but not limited to vatves,pipin�wafis,floors or the wrb sfiap box and senrice line. In understand l am also requirE to abtain e permit prior W any work,if necessary. FBNA!METER READING(old meterj V �� Plame: � - � Address 1 IJ � p {(� Phoae 9Yumbec `7 � y'� J 1�� p� �— 3 C" `� � , � �Signature Witness Signature OLD METER# _�� G� OLD READING _ V J � � ��O NEW METER# �� ` �Z NEW READING� ��# � ��'a �� FRIDLEY CITi!CODE CHAI�TER 402.WATER,STORM WATER AND SARIITARY SEWER ADMIfYt5TRAT10N � (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructin�or repair of anY water of sewer line conrsecting the e�cisting municipai system and any house ar iwiiding for which the applicaCion is made,the owner or coMrador shall be required to obtain a permit for such conoection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmerrC shall be notifiied. it shall be un(awfui to cover any connecting line ur�til an inspection has been made and such connection and the work incident thereto has heen approred by the C'�ty as a proper and su'�tabie connecfion. 402.06 REPAIRS AND MAINTENAWCE TO COMPIECT{01V After the initial connection has 6een made to the water service curb stop boK or the sewer lead at the property line or a ytrater service lead has been extended tv the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for all repairs required to any water tine and sewer iines necessary for connection of the premises from the main to the premises. tf the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the c�ts of the mair�tenance and/ar repairs,inciuding necessary street repairs at a rate set annually by an adminisCrative poltry. It shall 6e the responsibillty of the appliqr�t, owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inciuding debris dearing or root cutting and to mairrtain the wvater service curb stop box for operabitity and at such height as will ensure that it remains above the finished grade afi the tand or property. {Ref 638,1156,1191j �3-�3 ��i�s� City of Fridley water Department Address �(p�7 ��ySC�L, �� Name t� et� �� ed4�..►.. T�P�2�y, �K�� -- Date . � "�',�- 6 �'j Old Meter Number •�� 7' � �� Old Meter Readin ��'"O �,7 9� Replacement No. ,.3 �S/d..� �!� Replacement Reading � Replacement Make �G�,, Remarks: � fa/ 1'►�.+�-�.,-��A .� -�I�et,.� � Signed _,_ .,.�� ..,:-.�. . � _. _._ �. ,_. _. ,,.. . _.�Rw._ _ _. ,_ .. ,�.. ,.,�� ' ;