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Meter Swap �� -�,—{j(�`f?��t �� (��'\� INSTALLATION G.�,�. AUTOMATIC METER READER FRIDLEY Address �� Name �t�� F�L-L.'� Date `�D'�_ Old Meter Number �� Old Meter Reading �� Replacement No. F �l�� Replacement Reading � Replacement Make ERT# �� Replacement ERT# Remarks: 73�o� Signed; Ft�U+�st ft�r�er�iG� � , Ciiy a�f F�tiley I � . �,� �. 97A�-PL`+I4IYJ� iPCA.'�G.. �LY FL Tj�e= /tiMR�+er Ehr: � �� W�� f��en!�: Bamie�s Add�: � 1wVE!� Pt�e: 7�571-�151 S�d[�+e: 6l17�2Q1�11�AM I ��n�jl � �� (�u'c.�°` �tl�a�: �,e�t E�t�: � ��. ___ _. ._..� _._ . _ � . �__. d____...._ . � -� Ac�an Ta�� I�d tUle�r # � ��t-j� � �Id r�adin�: � �`� t�(��► � ; ��I�;v�r �e�r # �� ,�� w R+�ading: � ��T# �� ; �; � _ � �___. __ ._�..�_ __------__.---- �_.� _�.�. __.� � 4 � F ��.. �e��Q'//�:�/\\ � �.._.........�� ......._.._._^—^""""'�'_... .............._a . . City of Fridley ' Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 !/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 all interior plumbing. (Per City code 402.06) 1 also hold the City of Fridtey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walls,floars or the curb stop box and service line. I understand I am also required to obtain a permit prior to any work,if necessary. � Final meter readin (old meter} �� g Name: Address: �'^� � �"� PhoneNumber: Date: �~��-1� � Signature: . Witness Signature: . . FRIDLEY CfTY GODE CHAPTER 402.WATER,STQRM WATER,AND SANt7ARY SEWER ADMINISTRATION {Ref Ord No 123,464,565,566,629,638,662,922,988,1144, 1156,1191) 402.05. PERMIT FEE Prior to constructir►g or repair of any water or sewer line connecting the existing municipal system and any house or 6uilding for which the application is made,the owner or contractor shall be required to obtain a permit for s�ch connection,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 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. 4U2.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made ta the water service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water(ine 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 performed by the City,the praperty owner 5hall 6e charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annual(y by an administrative poticy. It shall be the responsibility of the applicant,owner,occupant ar 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 the finished grade of the land or property. (Ref 638,1156,1191) � (��:� � Request Number: 11897 Public Works Division Service Request Problem Address: 6389 Baker Ave Requested By: Heidi w/Terry Overacker Plumbing Department: WATER Address: No address provided Problem/Issue: TURN WATER ON/OFF Phone Nwnber: 572-8880 Scheduled Date: 2016-08-22 Scheduled Time: 12:45:00 ACTION NEEDED:Turn off water for repair.****BIL,L**** Created by: Wendy Hiatt Date Created: 2016-08-22 ACTTON TAI�N: ..........................................�.��,�.-........................._..._�-:u-.`��'..................._�...�...�....................a::_�.................__._.._..4...�._�..._b.........__.._�`��?...__Q.. ....._��"..............................................................................I.v._�_`��..._......_.................._.........r�-L.�-�c..........................._0.......t^�.�'.'.:.�.�.._-......................�_�c,l.��..... ` _-7 U...��........................._!.....�....._............._................�....��!`.........._..............�.....�."..._............._1...f'�,o.....................`"._4�'�..y................_...................................._._..................................._.._....____.. .................................................................................................................................................................................................................................................................................................................................................._......................._..._.___..__...... ................................................................................................................................................................................................................................................................................................................._...................................._......._................_......._..__........... ................................................................................................................................................................................................................................................................................................................................................................................................___........... Status: In Progress Submitter Has Been � Contacted Date Completed: Completed by: ��-a^ l� � .�-