Meter Swap �
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Request Number: 15484
Public Works Division
Service Request
Problem Address: 4717 2 1/2 St Requested By: Mike Olson
Department: WATER Address: No address provided
Probleml7ssue: INSTALL AMIi METER Phone Number: 612-483-5478
Scheduled Ds�te: 2017-06-OS Scbeduled Tfime: 02:00:00
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ACITON NEIDED:
Created by: Beth Kondrick Date Created: 2017-OS-22
ACTION TAI�N:
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5tatus: In Progress Submitter Has Been �
Contacted
Date Compieted: j''_ , P� _ � `7 Completed by: 1 �
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f City of Fridley � � 1 � , /6 �
Water Departrnent VI ��t
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/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 fiable for the water line from the main to the premise and al{interior
piumbi�g. {Per C'ity code 402.06) 1 also hold the City of Fridley andJits employees harsnless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand l am also reguired
to obtai�a permit prior to any work,if necessary.
FINAL METER READIN6(old meterj � v � � � �"
Name• ��F'�' `�'l�l�-1�'`� Address �� � 1 � ��' ��.
Ph e Number����� ✓" � 6 � � p� � '� � " �"�
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Signature Witness Signatu�e
OlD METER# 4" " + ����
OLD READING �� 1 i���
NEW METER#__�� �� � 8 ��
NEW READtNG v
ERT# �� � � v � l(J �
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FR{DLEY 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 constructin�or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
appfiqtion is made,the owner or corrtractor shaii be required to obtain a permit for wch connection,and sha{i pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notfied. It shail be unlawful to cover
any connecting line untit an inspection has been made and such connection and the work incident theceto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AAID MAfNTENANCE TO CONIVECTION
After the initlal connection has been made to the water service curb stop box or the sewer lead at the presperty line or a water senrice lead has
been extended to the property fine for connection,the applica�,owner,or occuparrt or user of such premises shall be fiabie for aN repatrs
required to any water line and sewer lines necessary for wnnectior►of the premises from the main to the premises. If the property owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,incfuding necessary street repa�rs at a rate set annually by an administrative poficy. ft shaii be the responsibil'ity of the applicar�t,
owner,occupant or user to perform standard mair►tenance af the sewer service line from the premises to the main includ'+ng debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191J