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MEter Swap . 5� �, .r <;;; c��f Fridley Request Number: 17842 Pub1lc works Division Service Request Problem Address: 6243 University Ave Requeated By: Tim Depsrtment: WATER Address: No address provided Problem/Issne: INSTALL AMR METER Phone Number: 612-7Q1-2106 Scheduled Date: 2018-03-12 Sc6ednled 1jme: 10:30:00 -� �v;3a ACIION NEEDED:AMR 5/8" Created by: Wendy Hiatt Date Created: 2018-03-02 ACIION TAI�N: Status: In Progress 5ubmitter H9s Been r Contacted Date Completed: Completed by: �� a� �� V� � , City of Fridley �.�-� ��}� � • Water Department — 6431 UniversityAvenue NE �—'�� —L/�j��j�v—c��— Fridiey,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. 1 understand that the property owner is liable for the water line from the main to the premise and ail iMerior plumbing. (Per C'rty wde 402.06) 1 also hoid the City of Fridley andrts employees harmless for any dameges that may oaur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and se►vice line. In undentand I am also required to obtain a permit prior to any wo�ic,if necessary. FIPIAL ME7'ER READING(old meter) `� � v' v �� Name• 1 �rn Address v�-�tif Phone Number`-��~ �v'` �v� Date �~ �� `-- �Sign�ature Witness Signature OLD METER# v 6 � 0� v v SIZE & STYLE(Circie) OLD READING_ �� c/� �g {� �� , � �--� �C� NEW METER# �� " � 1 HEX NEW READING `� 1 i4" ELIPTICAL or HEX ERT# ! � � � �� U 2" ELIPTICAL or HEX FRIDLEY CI'PY CODE CHAPTER 402.WATER,STORM WATER AND SANITAItY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j 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 shall pay a permit fee as provided tn Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover any connecting itne until an inspection fias been made and such connection and the work incident thereto has been approved by the C'�ty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTIOW After the'snitial connection has been made to the water service curb stop box or 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 connedion 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)