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Meter Swap � � Request Number: 15492 Public works Division Service Request Problem Address: 100 Rickard Rd Requested By: Lilnda Department: WATER Address: No address provided Problem/Isaue: INSTALL AMR ME1ER Phone Number: 574-0989 Scheduled D 2017-OS-23 Sc6edaled 11me: ��1:30:00 � 1 � AC110N NEEDED: Crexted by: Wendy Hiatt Date Created: 20I7-OS-22 A TAICEN: � A E I c/" U "�h /� � �x�,�� __ .e�- a C� � o��-. ----�.....___._ _ .. _._.._ G�� s �� Status• In Progress Snbmitter Has Been r, Contacted Date Completed: Compieted by: �=2�3- l� �' ��' � ^ �� - y��o- o � + City of Fridley Water Departrnent �� S 6431 University Avenue NE Fridley, MN 55432 763-572-3566 ��`"�e hereby authorize the City of Fridley and/or its empioyees to do what 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 plumbing. (Per City code 402.06j I aiso hold the C'rty of Fridley and/its employees harmiess for arry damages that may ocwr 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,if necessary. FINAL METER READING(old meterj Name• 1.�) ► V�., Address � . Phone Number�?��'�.� p� " � C� Signature �_Witness Signature OLD METER#_�g/ Y (� 1(j �S OLD READING � �6 �� T 0 NEW METER# � l��71 CQU p�� NEW REA O ERT# Ip�� I �"'�(� \E/ FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION � (Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prioc to constructing or repair of any water af sewer line connecting the existing municipal system and any house or buiiding for which the appltcation is made,the owner or contractor shali be required to obtain a permit for such connedion,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfui to wver any connecting line until an inspection has been made and such connection and the work incident tfiereto 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 tine or a water seroice fead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali 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. ff the property owner requests mainte�ance senrice 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 applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is clearing or root cutting and to maintain tfie 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) R�q�t for S�r�ric:� R+�pc�� ity a�f �ridl� ��: s�2-�2-� a��: �o.r;�zay� R�aqu�t T�pe: sewer ttad+�-t�cfieck c�,r�n �te�d 8y: w�dy�1'iatt Q��r#re+e�_ Sewer C#iz,�I+�aene: 8Si W�k,�+�i Acict�ss: 10Q RfCl�ARD Rt�hiE ac�c�ha�: �12-2442�17 �edu�d E�e� �tyOwr�er: 0�7�-574-f�9 l�cati��s: RequesE D�et�s= Bacla�4=Gt�ec*C�M�an Action T�t,e�t: i (� E ; �`�`r c,�f(`�C� �� `��S'�a rn � �O w� �'�C�� T L�.c� 1 � i � � � \ ` � 'i ��cc�- i �`-� ��:.c� �-�40.f . `��rn�,�..,� c� �v�\ �� ' � � ; �� c c�o,,� cC� , i i � � [ ; � � � � � � � �st��efsar�: �� .� � �e . .... _ .^� �..._. . t'�"s��. - � ��: ___ _ __ _ _ C�e,tia�I�e: ' � E�+�h�ed �O� 3c� \-), �_�_ i��ZtQZ!'�1�� =�� !�� "��i+t ' � ��1 � �. ._�_,___..__._�._.._ .�__...� �. �!�?��C3='�P�B =�� -�lS-f9t� =��f? =� L��-O�Z Z�� - ��! �L =�4PV _ � - � �+�M =+"�8� ��3��-�9� =�1� Z�U�1 =�� 1��Zt-�(}9 ��i ' �.. �� _ ��