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Meter Swap 11 L� � �zA� c;�p� Fridley Request Number: 17683 Publittc Works Djvis�on ,�'` Service Request Y� �`- Problem Addresa: 5300 6th 5t Reqnested By: Perry w/Fridley Gospel H811 Depxrtmeet: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Nnmber: ' Scheduled Date: 2018-02-OS � Schednled 1lme: 11:30:00 S� /l� ACTiON NEEDED:AMR Created by: Wendy Hiatt Dxte Created 2018-02-02 ACTION TAI�N: �t�,�_�-1�� _._.__..___._._.�Q���- _ Status: In Progress Sabmitter Has Been r Contacted Date Completed: �� �� �{� Completed by: ���� �/ y � � City of Fridley D a � L f �pQ��d r� 2 Water Department � ( 6431 University Avenue NE 5 O ,� Fridley, MN 55432 � � �� 763-572-3566 1(we hereby authorize tfie City of Pridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is tiable for the water line from the main to the premise and all interior plumbing. (Per City wde 402.06) I also hold the City 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) 0 CoC�`� F��� Name: F���1 UR�J�1� ( �f►-�� Address ✓�U� Q� �/'�" -T Phone Number Date ^M � � b� t�-- � ignature Witness Signature OLD METER# � `� 3� �a�� SIZE & STYLE(Circlel OLD READING v v �� �� 5/ HEX NEW METER# I r � v '��� � 1" HEX NEW READING v 134" ELIPTICAL or HEX ERT# � � �� �� �� 2" ELIPTICAL or HEX FRIDLEY CITY CODE �p�,v'�'�,�� CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER Yr�"' t � ADMINISTRATION � ��„p� (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) � 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or wntractor shali be required to obtain a permit for such connection,and shall 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 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 connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner requests maintenance seroice or repairs be performed by the City,the property owner shall be charged for the wsts of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shalt be the responsibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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 tp�Fnished grade of the land or property. (Ref 638,1156,1191) `F �� �f