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Meter Swap Request Number: 8966 Public Works Division Service Request Problem Address: 64�3 Christenson Lane Requested By: Zoya Lyublinska �, Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 651-230-3243 SchedW ed Date: 2014-09-25 SchedW ed'I�me: 10:00:00 �� � O ACTION NEEDED:2014 AMR-Phase 2 Created by: Wendy Hiatt Date Created: 2014-09-24 ACTION TAI�N: .. ........................................................................................................................._............................................................................................__.........._..................._..................................._........._.........._....._..__._ .�.�.......�r-:�_�.�-.._...�....................�..��.�......�.�...�.�..7........................................................................................................................................_..................................._._. ................._............._ ._�.Lo........_�._�:b i�.�...-....................��.�...�....�.�'.....D........................................................................................................................._................_..._..............................._._....................._._........_._._ � ......_��.�....._�T��..�.............._�[�I_�2...._2Z._�Cv................:......................................................................:................................._. _. ............ ................_..._._................................ I�EW Q����J�...'......�................................................................._ ..................................... ........... _........................:........................................................................._....................._.._...............:..................__..........................__........_ ........._�.�-�....._�..:......._�5.._�.5...._°�._.`�.�..�......................_.................._ ..................................................................................................................................._........._._...................._._....._.._...................... Status: In Progress Resident Contacted p Date Completed: Completed by: °� ,��- l'� �.r::.. . City of Fridley ___ , _ _ , _._.--. .Watec.Department-- - . ... . - -- - , �_ _.__.._.._ _. _ 6431 University Avenue NE Fridley,MN 55432 (763)57Z-356fi ��we hereby authori=e the pht af Frydley andJor its employees to do what is necessary to replace the water meter. 1 understand that the ProP�Y oWner ;��i�ti�p fi+r+he water line from the main to the premise and ail ir�terior piumbing. (Per City code _. 4U2.Q6) i also hold the Gty of Fridleyand/its employees harmless or any amages maY� while doing this operation. This to include,but nat limited to;valves�P�P��B►Wa����O°�°r the curb stop box and service line. I understand i am also required to obtain a Permit P�ior to any work,if necessary. Finai meter reading(old meter) ��/ ' � Name• Address• ���� C��'��- �e,.KC. • __ / Date: ��Z�J 1� Phone Number: ~'"" Signature: � 1Nitness Signatur . FRIDLEY CITY CODE CHAPTE 402.WA7'ER,STORM WATER,ANO SAIVITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156�1191) 402A5.PERMIT FEE Prior to constructing or repair of any water or sewer line cocon actor hall ben equired to�bt in a perm'�t forsuch or building for which the application is made,the owner o connection,and shaN pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shail be unlawfu)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 ����� r s rvice cur6 sto box or the sewer lead at the propert� line or a water senrice 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�epairs required to any wate�r�er re uests r lines necessary for connection of the premises from the main t��e p op�owine shall be charged for t e costs of the maintenance service or repairs be performed by the City, maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an admin'�strative 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 cfearing or root cutting and to maintain the water service cur6 stop box for operability and at such height as wili ensure that it remains above the finishe _ 'Ref 638,_1�.5�5,..1.��3:� .._ _. . ._ . :,'gracte of tf�e iand orprn�etty.-� .._. _.... .._...