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Meter Swap . � Request Number: 12904 Public works Division Service Request Problem Address: 7348 Symphouy St Requested By: Marion Department: WA'IER A�ddress: No address provided Problem/Issue: INSTAI..L AMR METER Phone Number: 763-785-9576 Sc6ednled Date: 2017-01-19 Schedaled'ilu�e: 01:00:00 �.`�` � ACTION NEEDED: Created by: Wendy Hiatt Drte Crerted: 2017-01-1? AC'IIO TAI�N: ._...__._ _�,.,L i Status• In Progess Sabmitter HAa Been C, Coutacted llnte Completed: ComEdeted by: � � � � I�. � � � - �.ozy or triaoey Water Departrnent 6431 University Avenue PIE ,. Fridley,MN 55432 5�� ����i / � 763-572-3566 `� �s/ ,� e� Si.,��.� I �IWe hereby authorize#he City of Fridley and/or its empioyees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior plumbing. {Per City code 402.06) i also hoid the C�ty of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to inciude,bufi not limi#ed to valves,piping,wails,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any wor{c,if necessary. FIAIAL METER READING(old meter) �2 `����� Name:,�_�{,�V � li �1 address � �- I � �11n � � Pbone Number 7��' ��J ^�:� !.� '� � � Signature l/ `"'�".� �._� iN'�iness Signature � OLD METER# ��Jc� � ��� � OLD READING �Z�'�' ��-" NEW METER# �l� r I � ✓�� NEW READING v ERT# �� � 'U �� I � . FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,2144,1156,1191j 402.5 PERMIT FEE Prior to constructing or repair of any water of sewe�line connecting the existi�g municipa(system and arry house or building for which the application is made,the owner or co�tractor shalt be required to obtain a permit for such connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be ootified. it shail be un(awful to cover any connecting line u�il an ir�spection has 6een made and such connection and the worlc indderrt thereto has been approred by the Uty as a proper and suitable connection. , 402.06 REPAIRS AND MAINTENANCE T�CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for wnnection,the applicarrt,owner,or occuparrt or user of such premises shall be liable for all re�airs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests mairrtena�ce service or repairs be performed by the C'tty,the property owner shall be charged for the�of the mairrtenance andJor repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsibitity of the applicant, oarner,occuparn or user to perform standard mairrtenance af the sewer service tine from the premises to the main indudi�debris clearing or root tutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that�t remains above the finished grade of the land or property. (Ref 638,1156,1191) � ' � � �, � � � � , � � � � � � � $ � � � � � � w � � � � � '� ° � � � � � � � T � � , v v � � .� � - � � � _ � � � � � � a � � � � � � � � � � � � � � � � . � � � � � � � � � � c� u�i t'� � � �.. � i . ,� � � � � � . ' tl7 � � � ti W I � w � � N � � � � � '�. � � '�l � a � � I � � ~ � � I I �' a � � 3 �I I ; r C�C � z .� C � � � � v ' N a� � � v , � � �' � � � � .� � � � � � � � � � �, °� � � � �� � { ; , ,c� � � �� �Cl ; M, � � � � � �o x � � � � � �� � }- w o � � _ , _ w Z � � a� b J � 4 � � � � 4 � � � � _ � � � � � � � ` � � � � � � � Q � � � � � � � � I � � � ` c� � � �t�q�:s� f�rr Serwi� F��r� �iiy c�f Fnd� - �cs: �-12-4�87 �te: 3r'�2l2012 TjEpe� 5�F�c�e �E+e�d'�r: . � {�z�n�ia�e� h�aritxt�ar� lldd�ess� T3+RS SYfMP�IaNI!'ST t� �C:a�radc Ft�: �63-7$�-9516 ��+e: 3fl2rfZ##12�-Ob PM t�er� _ a-6 h ir� af ��re�ar ty ' �ieq��= l�inhs��at�ed"ar#�i???" � " _ A�t T�� 3 tlr�6�e�t d�ir�e���a�ic E�ar n�t. lt�t�c�s wau4fi w��s�ar�E��r��r a v�aid erde��e iuw sP�at- W�wi � Eo ��s��d� ' � . � _ '� ��____......__--- _ .. ______.____.___....._._______._.._. . _ �� _ l _._._______��_ _ �....__._� _. _.�.______e. ._.. . ..___.__ _ �e: �1�3�J2L1'�2�17A1� t�Na� � _ _._ ............. ..