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Meter Swap ` Request Number: 12706 Pubtiic works Division Service Request Problem Addres�: 7378 Syrr�ho�+St Requested By: Corey Oslund Dep�u�tmeat: WA1ER A�Ireaa: No address provided Problemllsaue: IIVSTALL AMIt ME'IER Pla�e N�mber: 651-208-7909 Schednled Date: 2017-01-OS c� Se6�led 1lme: 01:30:((b ��` ` ACTION NEEDED: Created by: Wendy Hiatt D�e Cre�ed: 2017-01-03 AC7TON TAI�N: �� i p St�: In Prograss 5ibsdtter Ha Beea r Ceetaeted Date Compteted: l— 5 — � 7 Campteted by: , � �-;',. r� ,i ` • '� s, .�. ,_. _. ,' � _. .__ City of Fridley (''� Water Department \ ��'j �g � �- 6431 University Avenue NE � . Fridley,MN 55432 � 1� ` � ��J � „ 763-572-35b6 1/we 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 liable for the water line from the main to the premise and att interior plumbing. (per City code 402.06) i also hold the�ty of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) _� � 1� � Name:_l�v �� V`'"'�'�'Ci Address 1 J � � S , Phone Number �1� � � � [� / Date �✓� ` �� Si nature �— '�(� g Wiiness 5ignature ✓ � I � � . �L�METER� �,Z�� OLD READtNG �� l�� NEW METER#_ `� � t V� / U NEW READfNG � ERT# �Q� � �� FRIDtEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer tir�e oonnecting the existing municipal system and arry house ar build(r�g for which the application is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be ootified, tt shail be unlawfui to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a proper and witabte connection. 402.06 REPAIRS AND MAINTENAl110E TO CONNECTION After the initial connection has been made ta the water senrice curb y�tep(x�x or the sewer fead at the property line or a water service lead has been extended to the property line for connection,the applicar►t,owner,or accupant or user of wch premises shall be liabie fa�all repairs required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff tfie properly owner requests maintena�ce service or repairs be performed by the City,the property owner shail be cha�ged for the costs of the mairrtenance and/or repairs,inctuding necessary street repairs at a rate set annuatty by an administrative policy. tt shall be fihe responslbility of the applicant, owner,occupant or user to perform standard mairnenance of the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it rernains above the finished grade of the land or property. (Ref 638,1156,1191) - . ._ � ( � � r�-- � � � � ( , � � � � f (✓� ,� � ..� �}' � � w b � � � �^ tr � �, � � � , o � WA �'- .; � � � b � � ° � � ,a� -� � � � �+ a� � � q ro z a � �1 1 ' ' � N ` V � � z a +� +� +� 'd � � � � � � � � � � � � � � � � •� N � N U U U .�G � r-�i � � �d b � .�u b b a a a � a z c o o a a a a