Meter Swap � �
_.��y
- � Request Number: 17518
Pubiic Works Djvf�ion
Service Request
Problem Addreas: 4656 2 1/2 St Reqneattd By:
Departme�: WATER Address: No ad�ess provided
Problem/Iaaue: INSTALL AMR ME'IER Phone Number:
Sc�duled Date: 5e�ed�ed'�me:
ACTION NEEDED:Replace frozen AMR.
Created by: We�y Hiatt D�tte Created: 2018-01-04
ACTION TAI�N:
q D�/� � � /�Cr'
____..._._c�.__�.�.__. _.__._�� c __________........_.. .W_._._._
Status: In Progress ���er Haa Been r
Contncted
Dxte Completed: Completed by:
���" �$ ���
City of Fridley �� �I
Water Department
6431 University Avenue NE 1 ��������
Fridley,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 all iMerior
plumbing. (Per City wde 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to inciude,but not limited to valves,piping,walls,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.
, l���i��`�'�' �til.c�/`'�.� � �i4,'�!�'-U- E���,
ii
FINAL METER READING(old meter�
Name: Address ���D �'��� S�
Phone Number Date l � 3� �
Signature Witness Signature
OLD METER# 3��a 4 ��� sizE & STYLE(Circlel
OLD READING __. �1�2�,/��U 5/8" HEX
NEW METER# `T C1.3 SS�s� 1" HEX
NEW READING d 1�4" ELIPTICAL or HEX
ERT# �a37 g3�� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 line connecting the existing municipal system and any house or building for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such wnnedion,and shall 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
ar�y connecting line uirtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial 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 IiaWe 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shali 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 induding debris dearing 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)
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9 C��s - ���r��c�
City of Fridley: '
Water Department
Address �C�.� �` ;' �,� J'L
`�
Name Cc�s:�"jt�'lr��� �7Uc�,/`�
Date ��-�� z�
Old Meter Number (�.� C��/ � �
Old Meter Reading S3 �O
Replacement No. _ 35�� �� �'' 7
Replacement Reading__C">
Replacement Make •��^
ERT#_w�� _
Replarement ERT#
Remarks: � .�i�—
Signed_ � ' � (�ID