Meter Swap 4 ` � �
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City of Fridley
Water Denartment
Address ��I T� ��"'�S�
Name___��'P,t�� �171:�3�
Date -0
Old Meter Number��`1
Old Meter Reading '�J ��v ____.�
Replacement No. �J�J�'7�����
Replacement Reading�, _
Replacement Make ���
Remarks: l'�'I
Signed
Request Number: 10678
Public Works Division
Service Request
Problem Address: 7518 4th St Requested By: Kathy
Department: WA1ER Address: No address provided
Problem/Lcsue: LOCATE METER Phone Number:
Schedul D�: 2015-10-30 �,r.� Scheduled'ITime: 02:00:00
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ACTTQN NEEDED:Locate water meter.Homeowner cannot find it.
Created by: Wendy Hiatt Date Created: 2015-10-29
ACTION TAI�N: � ����� �),�„ ��� �6�
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
_ Wat�r Department
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6431 University Avenue N�
Fridley,MN 55432
(763)572-3566
IJwe hereby au�ori�ce ihe��Y��tey and/ar its
ernployees to do what is necessary to replace the water meter. 1 understand that the pr�perty oweer
�s li le for t e water line from the main to the premise and a�in�rior plumbing. (Per City code
4a2.06) I.alsa haid the City of 6ridfey andJits employees hamd�ssfor any damages inaz may ouan"
wh�e doing this operation. This ta include,but nat limited to;vah►es,piping,walis,floors n�'the curb
stap box and service line. I understand i am alsa required to oht�n a Permit prior t�ar�y work,if
necessary.
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Final meter reading�old meter) � . .
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Name• �
Phone Number.
aate: I f�—�����
Signatur�—"'�`�
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Witness Si�ature:
FRiDLEY U'fY CflDE
CHAPTER 402.WATER,STdRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4fi4,565;556,6Z9,638,662,922,9&8,1144,1156,1191J
402.05.PERMR FEE �
Prior to constructing ar repair af any water or sewer line connectingthe e�dsting rnuniapal system and any house
ar building for whic�the appGcation is made,the owner or contracWr shaf{be requ4red ta abtain a permit for such
cortr�ecdan,and shall pay a permit fee a5 P�a�be no fied.tit shall 6e nlawful to cover nyco nedi g li e untif an
made,the Water and Sewer Department sh
inspection fias been made and su�h connection and the work incidentthereto has heen appraved by the Ciry as a
properand suitable connectfon.
4U2.06.RERAIRS AND MAINTENANCE TO CONNECfIaN
��p�'����prt���h� . __.�_�,.+.,rF,e,�tPr c�rvtce cu�fi sb�hax ar the sewer lead at the propert'
line ar a water service or sewer lead has been extended to the propertyl�ne far cannecdon,the applicant�owne�,
or the occiipant or user of such premises shall be liabfe fior a11 irepats required to arry water Qne and 5ewe�lin�
�ecessary for cnnnection of the prernf5es from the main ta the pr�nt�es. If the prop�tty awner tequests
maintenance senrice ar repairs be pe�farmed by the City,the property owner shall be charged for the co�ts afi the
. maintenance and/or repairs, induding anY neces5ary street repairs,aC a rate set annually by.an administrative
policy. it shali be the responsibility of the applicant,awner,accupant or user to perform�tandard maintenance of
• the sewer service line from the premises ta the main inciuding dehris dearing or roat cutting and to maintain the
water servtc�cus6 stop box fur,ope�ability and at such height as wAi ensure that it remains abave the finished . .
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