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Meter Swap �I � � ..,�; c��v o�� Fridley Request Number: 18376 Public Works Division Service Request Problem Address: 6633 Arthur St Requested By: Brad Peterson Department: WATER Address: Problem/Lssue: IN5TALL AMR METER Phone Number: 612-229-2870 Scheduled Date: 2018-06-14 Scheduled Time: 11:00 -� / ( ACTION NEEDED: 1"AMR Created By: Wendy Hiatt Dat� Created: 2018-06-11 ACTiON TAKEN: Status: - Submitter Contacted: false Date Completed: Completed By: Hours: �L���ti� �� � c����7��' ' City of Fridley `olt'�������•�� Water Department 6431 University Avenue NE Fridley, MN 55432 763-572-3566 �/We hereby authorize the C'dy of Fridley and/or its emp{oyees to do whaR is necessary to repiace the water meter, I understand that the property owner is liable for the water line from the main to the premise and ail ic►te�ior plumbing. (Per City code 402.06) I also hold the City of Pridley andrts employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop boz and senrice line. In understand I am also required to obtain a permit prior to any work,if necessary. FNYAL METER READING(oid meter) wame: address ��'3 3 /-��-f S�' Pfione Number p� ����'''t �� Signature Witness Signature OLD METER# `��Lf �3� �� SIZE & STYLE(Circlel OLD READING �C,�G�1�X�5/8n HEX NEW METER# '"l�� 7„��� .d1'�.,.. :,L,HEX NEW READING £� 134" ELIPTICAL or HEX ERT#__ _ h7�G �//�'-� 2" ELIPTICAL or HEX FRIDLEY CI'E'Y CODE CHAPTER 402.WATER�STORM WATER APID SANtTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructiag 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 contractor shali be required to obtain a permit for such connection,a�d shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shafl be notified. It shaii be uniawful to cover any connecting fine untii an inspedion has been made and such connection and the work incident thereto hes been approved by the City as a proper and suitable connection. 4Q2.Q6 REPAtRS AND MAtNTENANCE TO CONNECT101N 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 a!!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 periormed by the City,the property owner shall be charged for the costs of the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative potiry. it shall be the responsibittty of the applicant, owner,occupant or user to perform standard maintenance of the sewrer service line from the premises to the main including debris clearing or root cutti�g and to maintain the water service curb stop box for operability and at such height as will ensure that it remains ahove the��ished grade of the land or property. (Ref 638,1156,1191)