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Meter Swap , � Request Number: 15906 Public Works Division Service Request Problem Address: 8065 Ri�erview Ten Requested By: Jolm Tonneson Department: WA1ER Address: No address provi�d Problem/Issue: IN5TALL AMR METER Phone Number: 763-786-1462 Scheduled Ds�te: 2017-06-12 Scheduled 1lme: 10:30:00 � ; ,� , ACITON NEEDED: Created by: Wendy Hiatt Date Created: 2017-U6-09 ACTION TAKE� � ___...................�5...................._�_�........____..._.�_�_...__.__.._ ._ --��.____. _...._......._..._._.._____ Status: in Progress Submitter Has Bcen r Contacted Date Completed: Completed by: Hours T" r_ �, �� � �1 � � �P �ity of Fridiey �/ [��' �/���—d 3 � Water De�artrr��nt � �431 lJniversity A�renue N� C �� )f�)� Eridley,MN 5543Z �� `rC � 763-572-3566 '/"'�e hereby aut6arize tfie Gty af Fridley and/or its empioyees to rJo what is necessary to replace the water meter. 1 understand that the�ro�aerty owner is liabte tor the water fine from the main to ihe premise and all interior plumbing. (Per�t'ity code 402A6) D also hold the City of Fridiey andrts emptoyees harmless for any damages that may oc.cur while doing this operation. This to include,but not lim'rted to valves,piping,walts,floors or the curb stop box and service line. in understand 1 am aiso require to abtain a permit prior to any work,if necessary. FfNA!METER READtNG(otd meterj � `� ��D Name:`'0�(W� �V�'���� Address _ �_1J�� �`I`�,��.lr--� 1`'�/�� ������^ �i�"���ate 1LJ���\ 1 Pho�e Number_ Signatuce Witness Signature OlD METER# _ `�1'!�y I ��. OLD READlNG��Z� ��Q NEW METER# `��Z��O� NEW READtNG�/ E�T# �7 Z-2��?33�'0 FRIDLEY CITY CODE CHA�'i'ER 402.WATER,STORM WATER AP1D SANITARY SEWER ADMlNl5TRATION (Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing ar repair of any water of sEwer line connecting the existing municipal system and arry house or buildPng for which the appiication is made,the owner or contractor shatl be required to obtain a permit for suth connedion,and shafi pay a permit fee as provided in Chapter 11 of this Code. After such connectian has been made,the Water and Sewer Department shaU be notified. It shall be unlawful to cover any connecttng line until an inspection has heen made and such connection and the work incident thereto has been approved by the C'rty as a proper and witable connectiort. 402.06 REPAIRS AND MAINTENANCE TO COPtNECT101V After the inifiial�oonnection has been made to the water ssrvice curb stop box or the sewer lead at the properly line or a water service lead has been eactended to the property line for connection,the apptipnt,owner,ur occupant ar user of such premises shall be ifable for all repairs required to any water line and sewer lines necessary for connection vf the premises from the main to the premises. tf the property owner requests maintenance service or repairs be performed by the City,the properiy owner shafl be charged for the costs of the maintenance a�d/o� repairs,inctuding necessary street repairs at a rate set annual[y by an administrative po{icy. ft shafi 6e the responsibility of the applicant, owner,occupant or user to perform standard mairrtenance of the sewer service Iine from the premises to the main including debris dearing or roo#cutting end to mairrtain the water senrice curb stog box for operability and at such height as wiff ensure that it remains above the finished grade af tt�e land or property. (Ref 638,1256,1191)