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Meter Swap � ; � . C��p f Fndley Request Number: 176113 Pe�bltc Works INvL�ion �rvice Request Problem Addreas: 556 Cheri Ln Reqnested By: Kon� Departmeat: WA'IER Addreaa: No ad�ess providad ProMem/Isaue: INSTALL AMR ME1ER Pl�ne Nnmber: 651-252-8394 Scheduled Date: 2018-01-23 Schedaled'iime: 11:30:00 �e �-� ' c� ACIION NEEDED: Crexted by: Wendy Hiatt Date Created: 2018-01-19 `' �i ACTION TAI�N: L� r L � �c��� � � �� �� —�.- , . __..._........_.____aa._.�. __........._....._..._.._.._..... _....___........_.._.._____.._....._______._.... _........._...._._.._._..�_ __ _____ Stxtus: In Pro�ess 5ubmitter Has Been r Contacted Date Completed: Completed by: � � 23 � t8 a a�`�-- �� Y ' Sv ��'�'- City of Fridley �� ,`� ���� �_ �� Water Department t �•� 6431 University Avenue NE Fridfey,MN 55432 ��,p dy�, 763-572-3566 ��'" -! 1/we hereby 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 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 Fridiey 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 I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter� `�' � � i �� Name: Address ��� e�n��/U 7 � Phone Number F" ��Z�v� Y-1 Date �"' 2 �—' �� � Signature_ F�r � Witness Signature `—"�' 1. OLD METER# � � �J l � �� SIZE & STYLE ICircle) /�J `� � �+l � OLD READING � d � / `, v 5/8" EX NEW METER# �� L�� ��+�/ � 1" HEX NEW READING v 1 i4" ELIPTICAL or HEX ERT# 6 � �� � � � L 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) 4025 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and any fiouse or building for wfiich the application is made,the owner or contractor shall be required to obtain a permit for such connection,and sball 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 suttabie connection. 402.06 REPAIRS AND MA{NTENANCE TO CONNECTION After the initiai wnnection 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 connection of the premises from the main to the premises. If the property owner sequests 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 applitant, owner,oaupant 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) S J (0l'1 ( ,�I���v-���'"��-�--.,�`�`.�'^. �'�-�''�. l--i--�S'