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Meter Swap , ' Request Number: 15839 Public Works Division Service Request Problem Address: 8151 RirerviewTerr Requested By: Dolores Dep�rtment: WATER Address: No address provided Problem/Issue: INSTALL AMR ArIETER Phane Number: 766=184-0732 Scheduled ate: 2017-06-14 Scheduled 1lme: 10:U0:00 L� ACTION NEEDED: Created by: Wendy Hiatt Dnte Created: Z017-06-07 ACTION T . � ....___._........�:.�.�............1.� A��`�► _.___ ��.__._..._._____._-�--_ 5tatus: In Progress 5nbmitter Haa Been r Contacted Date Completed: Completed by: �o- ��-�� 7` �0 r- � �'�„��oa'e�r 3� !� — �t �1 `7?� — Q l uVa�er De�saa�ts�r�ent �`(��. c,�(o7g ' 6431 l�n6versity A�renue NE • Fridl�ey, NON 55432 763-572-3566 I/we hereby authorize the City of Fridley and/or its employees to do what is necessary ta replace#he water meter. t understand that the property ourner is liable for the arater line from the enain to#he premise and alf interior plumbing. (Per City code 402.06) t also hold the City of Fridiey and�ts employees harmless for arry damages that may occur while doing this operation. This to include,but not limited to valves,pipin�walls,floors or the curb stop boK and service line. In understand 1 am also requir� to abtain a permit prior to arry work,if netessary. FIPtAI METER READIAtG(o1d meter) • 1 O � Name: �1Jh 4��1j Address � V � � �� "v �'Vv� Phqne 9Yumber �l�-� �CJ��'��(�� "'�1/�-' �� • �Signature f ,��.�,, WitnessSignature � \�/-'-- �/� OLDMETER# V� U� ��7 OLD READING � 60�� NEW METER# _ `i { �(�--`�� NEW READING � ) El�T'#__� L�� ` 1 � FRIDLEY�CITY CODE CFiAt�TER 402.WATER,Sf4�RM WATER AND SANITARY SEWER ADMINlSTRATION � (6ief Ord No 113,464,5b5,566,629,538,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or Iwilding for which the application is made,the owner or coatractor shafi be required to obtain a permit for such connection,and shalt pay a perm�t fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line urrtil an inspection has been made and such connection and the woric incident thereto has been approved try#he City as a proper and suitable connection. 402.06 REPAIRS AWD MAINTENANCE TO COMRiECT10N After the initiat connettion has been made to the water service curb stop box or the sewer lead at the propert/line or a water senrice lead has been extended to the property line for r.onnection,the appliqr�t,owner,or occupant or user of such premises shall be liabie for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises, tf the�roperly owner reques#s mair�tenance senrice or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance and/or repairs,including necessary street repairs at a rate set annually by an admirtistrative policy. It shali be the responsibttity of the appiicarrt, owner,occupant or user to perform standard mair�tenance of the sewrer service line from the premises to the main including debris dearing or root cutting and�o maintain the water senrice curb stop box for operabitity and at wch height as will ensure that it remains above the finished grade af the iand or property. (Ref 638,1156,1191) u� , � '� ,. � : '�� '� �� 6* ns � "3ihp.��. � �� ,i` a#. �.�, fi.'M t > a F , AC t t;p . .�� n '��4"��. �aar�ss �� '�1`ie,�v��.w �"�.!`�^. Name , � 1'�e. �G � �er Date �� Old Meter Number o d �� Old Meter Reading ��l o y � Replacement No.� �� F Zl')L_ �� Replacement Reading � Replaceme�t Make_��X Remarks: /�'�� Signed