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Meter Swap . � �� .�� Request Number: 12968 � � � , f � (� �� r�n�wo�n��on � � 5ervice Request Problem Address: 7566 Stinson Bl�d Requested By: les or Letty Departme�: WATER Addresa: N address pmvided Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 7 -?84�9084 Sc6ednled Date: 017-01-20 Sc6edaled 1lme: :00:00 . 1 \J� ACIION NEEDED• Created by: We�y Hiatt Date C�e�ed: 2017-01-19 ACIION TAI�N: � ���� � �-`��-�t,�e.�-- Sts�us: In Progress Snbmitter H,s Been � Co�acted Dxte Completed: Completed by: � - Z.� -_ ��t � �� iiVate�-�e�sar�m�nt ,/ 6431 llniversit�/Avenaae N� ;� � � � �-7 Friddey,MN 55432 � • 753-572-3566 � �5 -'S��� J� !J�!e� hereby authorize the�ity af Fric{ley and/or its empioyees to do what is nec�ssary to r replace the water meter. I understand that the propea�ty owner is Iiabte tor the+arater{ine from the main to the premise and all irrterior plumbing. {Per City code 402.06j i alsa hold tfie C'oty�of Fridley and/its employees harmless for any damages tfiat may accur while doing this operation. This to 6nclude,but not limited to ualves,piping,waiis,flooPs or the curb stop box and service 1ine. In understand f am also require� to obtain a permit prior to�ny�ror9c,if necessary. F11VAL METER ttEAD1AiG(o!d meter) ! l `-� "' `� �t.✓ l�Iame: �-C/'`/J y Address � � (�/ � ��-.r�JY 4 !V Phone Number�KJ� ������ � � ''� � ''"� �� 2-y-^'_"_"._---.` . Signature WFd�ess Sigrsature � Q�o�ET�R#_� a �� ��.�� --� OLD READ[t11G . ��� ��� NEW METER# `"��� � ���"l NEW READIIVG� ERT# �p� U �' � �j FRfDtEY CITY CODE CHAPTER 402.WATER,SipRM WATER AND SANITARY SEWER ADM1T11STRATION (Ref Ord Na 113,464,565,566,629,638,662,922,988,i144,iI55,1191j 402.5 PEttl1AlT FEE Prior to constructing or repair of any water of sewer line connectir�g the existing municipal system ans{arry house or buitdingto�wh{ch the applicaeion is made,the owner or corrtractor shalf be required to obtain a permtt for sucfi connection,and shall pay a permit fee as provided in� Chapter 11 of this Code. After such connection has been made,fihe Water and Sewer Departmesrt shall be no�ified. tt shall be unlawfvl to cover any connect'sng tine urrtil an inspection has been made and such connection and the work inaderrt thereto has been apprav¢d by the Cty as a proper and suifiabte connection. 402A6 REPAIRS AAt�!!D MAIAI"i'E111ANCE TO Ca1MNECTiON After the initial connection has been made to#he water service curb stop box or the sewer lead at the propeciy line or a water service lead has been extended to the property line for connection,the applicarrt,owner,or accupant or user af sucfi prem�ses shaii be IUabie for all repairs required to any water I�ne and sewer lines necessary#or connertion vF the premises from the main fio the premises. If the property owrter requests maintenance senrice or repairs be perFormed by the Crty,the property owner shall be charged for the costs ef the mairitenance andjpr repairs,including necessary street sepairs at a rate set annually kry an administrative policy. It shall be the responsibitity of the applicar�C, owner,occupant or user to perform sCandard maintenance af the serrer service line from the premises to fihe main including debris dearing or root tufiting and to maintain#he water service curb stop box for operability and at such height as witl ensure that it remains above the finished grade af the iand or property. (Ref 638,1156,1191j