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Meter Swap Request Number: 15804 Public works Division Service Request Problem Address: 220 Stoneylxook Way Requested By: Ra1ph Morben Depxrtment: WA'IER Addresa: No address provic�d Problem/Issue: INSTALL AMR METER Phone Nnmber: 218-234-636� Scheduled Date: 2017-06-08 Schednle�'Iime: 10:30:00 �� AC1�ON NEEDED: G�ested by: Beth Kondrick Date Created: 2017-06-06 ACTION TAI�N• ��_�..`..:.�3�_...._..._..�� _.. _._...�...__...____ Status: In Progress Snbmitter Has Beea r Co�acted Date Comp[eted: Compieted by: C� " k��`'� � �b'� � �i#y o�Friclley �f�,��'"�� Water Depaa^trrtertt f431�niversity Avenue NE �� 6—� Fr6d9ey,MPt 55432 7fi3-5T2-3565 Ijwe hereby authorize the�ty of Fridtey and/or its empioyees to do what is necessary tc repPace the water meter. t understand that the property owner is tiabte for tFae rvater line from#he main to the premise and alt irtterior plumbing. (Per L'ity code 402.06) I also hold the City of Fridley and/its employees harmless for am/damages that rnay occur while doing this operation. This to include,twt nat limited to valves,pipin�wails,floors or the curb stop box and service line. In understand!am also requira to abtain a permit prior to any wortc,if necessary. FINA!METER READIPtG(old meter) � �� Name: � �j. `�v ' �rr'"v_.,,_ Address �� v`W Y" Phone lYumber v�'� 3�p�� Q ^ ` � `/Sig�ature �� V/ti""/ Witness Signafiure X� OLD METER# _ 7 �� `�"~y��_ OLD READtNG �� LJ✓ NEW METER# �q,`'�� JlJ NEW READING� E�# �1 � �t ZZ FRIDLEY CITY CODE CHQI�TER 402.WA�ER,STORM WATER AND SANITARY SEWER ADMINISTRATION � (ttef Ord No 113,4�4,565,566,629,638,662,922,988,1144,1156,1191j 402.5 PERMiT FEE Prior to constructing or repair of any water of sewer iine wnnecting the existing municipal system and arry house or building for which the appiication is made,the owner or cor�tractor sha(1 be required to obtain a permit for such connection,and sha(I pay a perm�t fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall f,��otified. it shail be untawful to cover any connecting line urrtil an inspection has been made and such connection and the work incidern thereto has been approved by the C1ty as a proper and suitable connection, 402.06 REPAIRS AND MAINTEPIANCE TO COPIPIECTION After the inifiia(connection has been made to the water service curb stop box or the sewer iead at the property line or a water senrice lead has been extended to the property line for aonnection,the app(icant,owrter,or occu�ar�t or user of such premises srw11 be liable for afl repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner requests maintenance senrice or repairs be performed by the tity,the property owner shali be charged for the costs af the mairrtenance and/or repairs,inctuding necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibil'rty of the applicarrt, owner,occupant or user to perForm standard mairrtenance of the sewer senrice line frvm the premises to the main iocluding debris clearing or root cutting and xo mair�tain the water service curb stop box for operabili#y and at such height as wiil ensure that it remains above the finished grade af the iand or property. (Ref 638,1156,1191) ...._ ��e. �a..... �,.e � � "�,� 0��'� �N�7► ;� _ __ _.. :�f ----_ ___._._._J��,..,, _ _ _--.--� - ��I �� -�d�� _ _...._.�_ ....__._._._.. _ _.�.._____..__ _....�_.._.__� ! / V ' � '�'° ` �� /�� `�_� ' � " - 1 '0�'��'��t - v 2�,ans� �� ,� �. , �,�� =�� -�� -��o�� =�� ;�a� �� =�� L9£�-i�£�-St� =�d� 3N�►y'�11�1't�LS� =� �4�1� j�+� � =�� 1 =�1� Z1.Q�I8�D�. ��Q �-Zl-Od5 :'�� '��