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Meter Swap � y Request Number: 15869 Public Works Division Service Request Problem Address: 245 Stonybrook Way Requested By: Dep�rtment: WATER Address: No address�ovided Problem/Lssue: INSTAL,L AMR METER Phooe Number: 763-571-0154 Sched�iled Date: 2017-06-09 Schednled Time: 07:30:00 ,' � �� �Q�i�+i�EH�t3t?�260�'PONY�BR40K.WAY and Mark will let you into 245 Stonyl�ook Way: � ��. � ��,,:. CreAted by: Wendy Hiatt Date Created: 2017-06-08 ACTION TAI�N: � .............. .........._ ._.____.�-�.:���:�.��.� ..__ ......._ ._....._.......... :� Status: In Progress Submitter Haa Been r Contacted Date Completed: �_ C' _,1`7 Completed by ` � ( • V Q k`Q- ` City of Fridley � Water Department 3�5� � (L �� � /r 6431 University Avenue NE � v� Fridley, MN 55432 �� � [l/�� 763-572-3566 7((J ��°A�e hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the property owner is liabie for the water line from the main to the premise and all irrterior piumbing. (Per City wde 40Z.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this operation. This to indude,but not limited to valves,piping,wails,floors or the curb stop box and senrice line. In understand!am aiso required to abtain a permit prior to any work,if necessary. FINAL METER READiN6(old meter) I �/ g � ` O Name• Address ��� J�''e�.l �CJ�� ` 7 PhoneNumber � �3� ✓� � - b1y� p�_�� — � — �,� Signature Witness Signature `— � � �' � '�°� �-'� .�� OLD METER# � ��1..�D� �� � OLD READING , � � v NEW METER# � I �O�l � I 3� NEW READING U E�# _ � aa � �� S FRIDLEY CITY CODE CHAI�TER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMiT FEE Prior#o constructing or repair of any water of sewer iine connecting the existing municipal system and any house or building for which the appiication is made,the ow�er or contractor shail be required to obtain a permit fo�wch connection,and shalt pay a permit fee as provided in Chapter ii 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 until an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connectiort has been made to the water senrice curb stop box or the sewer lead at the property line or a water service iead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines necessary for connection of the premises from ttie main to the premises. If the property owner requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an admi�istrative poliry. It shall be the responsibility of the applicarrt, owner,occupant ar user to perform standard maimenance of the sewer seroice line from the premises to the main including debris dearing o� root cutting and#o maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)