Meter Swap �� ���� /��fsYS-S1���7�
� INSTALLATION
�.�� AUTOMATIC METER READER
FRIDLEY
Address / ���� �y ��
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Name �,t�I1J �-1� �D`�i.� �'��i'''��
Date �'�� ��` ��
Oid Meter Number ��� 2��;0,� ►
Old Meter Reading � �
Repiacement No. ��
Replacement Reading Q�
Replacement Make � �
ERT#� ��I�L�,�
Replacement ERT#
Remarks: �i����
`�c�a:S Signed: �
Request Number: 5846
Pubiic Works Division
Service Request
Problem Address: 7151 Huvy 65 Requested By: Kathy
pepartment: WATER Address: No address provided
Problemifssue: INSTALL ME'fER(WA'1FR) Phone Number: 612-481-2585
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ACTION NEEDED: Change stopped meter.
Created by: Wendy Hiatt Date Created: 2013-03-11
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ACTION TAKEN: � � � �
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Status: In Progress Hours:
Date Completed: Compkted by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
emplayees to do what is necessary to replace the water meter. !understand that the property owner
is tiabie far 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 empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited ta;valves,piping,walls,floors or the curb
stop bax and service line. 1 understand 1 am alsa required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� ��
Name: Address• � ` �� �4=`/ ��
Phane Number• Date: � ' (�� `�
Signature: ��j% '`"`
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Witness Signature: � -—
�RtDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY 5EWER
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 connecting the existing municipaf system and any house
or buildin�for which the application is made;the owner or contractor shall be required to obtain a permit for such
connectian,and shalt 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 cannection and the work incident thereto has been approved by the City as a
propec and suitabte connedion.
A02.06.REPAIRS AND MAINTENANCE TO CONNECT{ON
After the initiai connection has been made to the water service curb stop box o�the sewe�lead at the property
line or a water service or sewer lead has been e�ctended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shail be liable for all repairs required to any water fine and sewer fines
necessary far connection 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 awner shaU be charged fo�the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualty 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 Che main inciuding debris clearing or root cutting and to maintain the
water service curb stop box for operabifity and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)