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Meter Swap � � - ; t`�+>�.f � � Fridtey � Request Number: 17704 Public Works Division SeYvlce Req�st Problem Address: 5645 4th St Requested By: Darwin Peterson Depxrtment: WATER Addresa: No a�-ess provided Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-434-2'766 � Scheduled Date: 2018-02-09 � Schedoled 15me: 10:30:00 . i �y-� (�`, c.�✓ ACIION NEEDED:AMR Created by: Wendy Hiatt Date Created: 2018-02-06 ACIION TAKEN: ____.__.... _............._.��'�:...✓..'�'r-�._��Q�__._____._. _Ln��: `'r�.._.__ :........__.__. __..__. _.__ .. .. ... . ...... .'�. >: Status: In Progress Sabmitter Hsis BeeH r Contacted Date Completed: x Completed by: �� °�- (� �� ' � �- � 5� %5� _ o� City of Fridley Z Water Department 6431 University Avenue NE �.� % (� � Fridley,MN 55432 «� 763-572-3566 I/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) I also hold the City of Fridley 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 box and service line. In understand I am aiso required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) �� v � �� Name: �AA�kI�h- P�:�'P�`SO�- Address J�D � 5 �� '��• Phone Number ��' ��`� � Date � ` 1 � �� Signature Witness Signature �� OLD METER# `� � ` �� -V� SIZE & STYLE(Circle) OLD READiNG ��N�� 5 " HEX NEW METER# ��b �� 1" HEX NEW READING `-� 1'r4" ELIPTICAL or HEX ERT# � ��!/�v� �� 2" ELIPTICAL or HEX FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER � ADMINISTRATION (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 contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�t shall be notified. lt shall be untawful to cover any connecting line until an inspedion 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 con�ection has been made to the water service curb stop box o�the sewer lead at the property line or a water senrice 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 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 property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall 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 the finished grade of the land or property. (Ref 638,1156,1191) �'' � lf„ J� � . ��/ �