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Meter Swap �� . � � � c:��•�I Fridley Request Number: 17671 Public works Division Servlce Request - Problero Address: 6401 Sth St Requested By: Tom Rosenbjumi wNillage Green Apts Department: WATER Addreas: No a�-ess provided Problem/Issue: INSTALL AMR METER Phone Number: 612-666-3252 Sc6eduled D e: 2018-02-07 ,7.i Sc�ednled 13me: 08:30:00 � � �� v ACIION NEEDED:AMR Created by: We�y Hiatt Date Created: 2018-02-02 ACITON TAI�N: _ ti c� � �;�.�-- -�-�-��- .. .___._��.__ ............................._.,_.._...._.____._..._.............._..._._._........._._....... .. - r� f „� ..........................................._'_............_.................................................._._.........�_...r..._._�... �1.0� � A Iu��'�F S,i�,. � . uk}`3 ? . � v`x' Snbroitter�wi Been S�x�us: In Progress Contacted r Date Completed: �' � ✓ � Completed by: � � �� . � ' 2 �� - �f�� City of Fridley �� Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 i/we fiereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is IiaWe for the water tine from the main to the premise and all interior plumbing. (Per City code 402.06� I also hoid the City of Fridley and/its employees harmiess for any damages that may oaur 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 1 am a{so required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) ��V �� L v Name• �D� Address �� J'� • Phone Number �D�?��"�� Date � � /"� 1 C.� `� 1;r5ignature Witness Signature , N ��o0 37 3 v OLD METER# �� SIZE & STYLE(Circle) OLD READING � G � `� ` �� 5/8" EX �� NEW METER# � 8� c� `� � � a 1" HEX NEW READING � 1 r4" ELIPTICAL or HEX ERT# � ` �� l 2" ELIPTICAL or HEX FRIDLEY CITY COOE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing munitipal system and any fiouse or building for which the application is made,the owner or contrador shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in Chapter li of this Code. After such connedion has been made,the Water and Sewer Department shall be�otified. 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 connedion 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 shail be liabfe for ali repairs required to any water line and sewer lines necessary for connection of the premises from the main to the prernises. 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 poliry. 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 ciearing 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 tfie land or property. (Ref 638,1156,1191) REQUEST FOR SERVICE REPORT CITY OF FRIDLEY Reference No. � � 5�C�? Date: �—1 �—� Cp Request Typ�: Entered By: Department: Citizen Name: -�'a� Address: ��,�-��.S`T Phone Number: (ot�� 6�, �-. �"arja, Scheduled Date: Property Owner:�`LL��Q� �?"cX..��J'�� Location Details: Request Details: Action Taken: � �� . �' 1 ��t��- �� ,�p�..�-�m�-�� Responsibl.e Person: Approver: � Completion Date: �� D Citizen Notified: � �; .. � , �