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Meterr Swap Request Number: 13203 Public works Division Setvice Re�est Problem Address: 7610 Stinson Blyd Req�ated By: Tsering Dep�rtmeut: WATER Addreaa: No adckess p�rovided Problem/Issue: INSTALL AMR METER Phone Number: 763-898-737Q Sebedaled D�e: 201�-02-06 Schednled Time: 11:00:00 r����J ��. ACIION i�TEEDED: Created by: Wcndy Hiatt Date Created: 201'7-02-01 ACIION TAI�N: Status: In Progress Snbmitter H�Beea �, Co�ncted Date Coe�pleted: Completed by: (.�(' t, �� � � 70 � 4Vatea-�eparta�reerat � 6431 iDniversityr l�lvere�e NE � � �� � � � ��° Fridley, MN 55432 '. U C� 753-572-3565 1 � � �_ ��� 31C � t�we hereby authorize the City af Fridley and/or its empioyees to clo what is necessa r y to rep lace#he wafier meter. !understand that the�roperty owner ss liabte for the water line#rom the main to the premise and all interior ptumbing. (Per City code 402.06j i also hold the City�f Fridley and/its employees harmless#or any damages that may uccur whi{e doing this operation. This to include,but not limrted to valves,piping,walis,floors or the curb stop boz and service line. i�understand!am also require� to obtain a permii prior to any rrorbc,�f necessary. FiNAL ME,TER READING(oid mefier)_� ��� � G.�� lYame: ' �1 pkidsess l �CJ � � ' "lJ�' \ �� Phone Number� v 1���� Date ��� `� Signature �"""'—"""`�-. Witness Signature . OLD METER# ���� ��� OLD READ[NG�.t��--�-li�—. NEW METER# ����j� NEW READlIVG S/ ERT# �,�1 v�Q1 FRIDLEY�ITY CODE CHAPTER 402.WATER,SfORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,565,629,638,662,922,9$8,1144,1I56,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water aF sewer Pne wnnecting the exisCing muniapat system and arry twi+se os buildi�for which the application is made,the owr�er or corrb�actor shall be required to abtain a permit for such connection,and shali pay a permit fee as prcvided irr Cl�apter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shali be no#tfied. Ft shail he unfawfui to cover any connecting!'sne urrtil an irrspection has been made and such connection and the work inaderrt thereto has been approved by the City as a proper and suitabte connection. 402.06 REPAIRS AND MAIPITEMANCE TO CONNECTION After the initial connedion has been made to the water senrice curb stop t�ox or the sewer lead at the property iine or a water service lead has bee�exte�ded to the property iine for connection,tfie appiicant,owner,or occuparrt or user of such premises sF�all be liabie for eli repairs requ�red to any water line and sewer liaes necessary for connection of the premises from the main to the premises. if the property owner requests mairrtenance senrice or repairs be perForrned by the City,the property rnvner shatl be charged for the costs of ihe mairrtenar�ce andJor repairs,including necessary street repairs at a rate set annually by an administraCive policy. It shaf!be the responsbility of the appGcant, owner,occuparrt or user to perform standard mairrtenance of the sewer senrice line from the premises to the main includi�debrfs dearing or root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that iC remains above the finished grade of the land or property. �Ref 638,1156,1191)