Meter Swap rl
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Fridlcy
,, Request Number. 17676
�lic Worka Dlvision
Servke Recg�eat
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Proble�Address: 6511 2nd St Reqnested By: John for Mar�rat(3to�nek '
Dep�nent: WA1Fdt Addreas: No adckes:provided
Pr��`ent�Qsane: INSTALI,AMR METER Plwne Number: 763-439-7804
Sc�duled Date: 2018-02-06 Sc�edeled�lme: 11:00:00
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ACITON NEEDED:AMR
Crented b�: Wcndy Hiatt Date Created: 2018-02-02
A,CIION TAI�N: -
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Snbmitter Ana Been
St9tus: tn Progress r ;�
Contacted
Date Completed: � r �� Completed by:
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City of Fridley ,��� �� �
Water Department �� / � ���
6431 UniversityAvenue NE �� /� ��
Fridley,MN 55432 «��
763-572-3566
I/we hereby authorize the City of Frtdley and/or its emqloyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,wails,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) � ��� � � �
Name• J6�r- Address ��(� �/'�G ��
Phone Number��� � �V�Date �~ �$`r ��
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� �Si nature WitnessSignature
OLD METER# � �v� "t ��� SIZE & STYLE (Circle)
OLD READING � v �� / � � � G�
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NEW METER# �� " ��� � 1" HEX
,
� NEW READING 1�4" ELIPTICAL or HEX
ERT# � � �� �� � � 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer Iine 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 in
Chapter ii 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 untit an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water service kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch 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
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenana and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applipnt,
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 wiil ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191y