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Meter Swap ' Request Number: 12446 Public Works Di�vicion Service Request Problem Address: 7550 Tempo Terr Requested By: Tim Brider Department: WA1ER ��.eSS. ?550 Tempo Terr Fridley,MN 55432 Proble�sue: INSTALL AMR ME'IER Phone Number: 763-�86-5341 Sciednied Dxte: 2016-12-19 Schednled 1lme: 08:00:00 �i�7`" �.rn ACIION NEEDED:Tnstall AMR , Cre�rt+ed by: Beth Ko�-ick Date Cre�ed: 2016-12-i4 ACTION TAI�N: ���.� ��° �� .____.. _ ____._ ____�.___.___�._ :;, ________.�___ _�...._ ..�,:.__._ ::�. Status: In Progress ���er Hna Been � Contacted Dxte Completed: f?—�,q ._..� � Completed by; f' 1 � . City of Fridiey � `�� � Water Department �,; � 1 • 6431 University.Avenue NE � Fridley,MN.55432 �j��,rj�-I�nS?7��l 763-572-3566 �Iwe 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 liabfe for the water line from the main to the premise and all irrterior plumbing. (Per City code 402.06) I also hold the City of Fridley andJits employees harmless for any damages that may occur wfiile doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also�equired to obtain a permit prio�to any work,if�ecessary. FINAL METER READING{old meterj �� �� �! �� Name: �� �r1��� �,d� ����✓ ��i�l.�(,� �e�. Phone Number �� � ^���� �� � Date � [ �� / `� �gnature e:�f �-'� i J Witness5ignature���_ OLD METER# � C)�� � � � � OLD READtNG _ lS�� �J� �U NEW METER# �7�� �� r w NEW READ{NG � ERT# � ��� � l9� � , FRIDLEY CiTY CODE CHAPTER 4U2.WA'�ER,STORM WATER AND SANITARY SEWER ADMINfSTRATION (Ref Ord No 113,464,565,556,629,638,562,922,988,1144,1156,1191) 402.5 PERMIT FEE � Prior io wnstruding or repair of any water of sewee.line�rmecttng the existing municipal system and ar�y house or building for which the appl'scation is made,the owner or cornractor shaif bewir�quired to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectioa has been made,the Wate�and Sevrer Department shall be natified. It shafl be uniawFul to cover any connecting line untii an inspedion has been made and such connection and the wo�ic inadent thereto has been approved by the City as a proper and suitable connection. 402.06 REPAtRS AND MA{N7ENANC£TO C0111NEC770N 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 servi�ce lead has ` been extended to the property line for connection,the appiicant,owner,or accuparrt or user of such premises shall be liable for ail repairs 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 maintenance service or repairs be�rEormed by the City,the property owner shait be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annuaily by aa administrative poliry. It shatl be the respvnsibility aEthe applicarit, owner,occupant or user to perform standard maintenance 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 remains above the finished grade of the land or property. (Ref 638,1156,1191)