Meter Swap �
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Fridley
Request Nu�nber: 17699
Public Worka Djvblon
Servke Re�est
ProMem Addres:: S 111 3rd St Reque�ted By: Ss�nmy A[y
Department: WATER Addresa: No address provide� ;�.
Problem/Isa�te: iNSTALL AMR METER �6one Nwnber: 763-516-8675
ScSe�ed Date: 2018-02-Q9 � Scheduled 11me: OZ:OQ:00
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ACTION NEEDED.AMR
Crented by: Wendy Hiatt Date Created: 2018-02-06
ACIION TAI�N:
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Ststus: �Progress Snbmitter Has Been r : ,`
Contacted '�aa�q,;A
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Dnte Completed: Coa�pleted by: ,
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City of Fridley
Water Department �'`'j� ���'�1
6431 University Avenue NE ���f �
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley andjor its emptoyees 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 all interior
plumbing. (Per City code 402.Q6) 1 also hold the City of Fridley andJits employees harmless 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 service Iine. In understand i am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meter) `-"' " - �v w��
Name: wI� Address r/ r � � v� ��'`►
. Phone Number " Jj��V� ` � Date � ' 1 � t V
�Signature Witness Signature �
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OLD METER# `� 7 3 3�i 7 �; SIZE & STYLE(Circlel
OLD READING �a 3 n �ao �j�y �
L.�r
NEW METER# 4 � l � ` { � lD 1" HEX
NEW READING V 1�4" ELIPTICAL or HEX
ERT# � � V tx � � �d 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 shall6e requi�ed to obtain a permtt for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connectio�has been made,the Water and Sewer Departmerrt shall be not�ed. It shall be unlawful to cover
a�y connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai wnnection has been made to the water servtce curb stop box or the sewer lead at the property line or a water servtce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail 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 properly owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer sQrvice line from the premises to tfie main incfuding debris ciearing or
root tutting 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)