Meter Swap Il
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Request Numb�r: 17684
PubMc Works Dlvi�ioe
Service Request
Proble�Addresa: 251 S'7th Pl Requeated By: AMhoa�
DepartmeM: WA1ER A�ress: No a�dress pmvicbd
Pre�blearJys�: INSTALL AMR METER Phoa Nam�er: 612-701-996?
Sche�ed Date: 2018-02-08 Schdnled 1lme: 02:00:00
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AG"IION 3�IEEDED:AMR
Created by: Wendy Hiatt D�tte Cre�ed: 2018-02-02
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AC'IION TAI�N: � � � .
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Status: In Progress Sul�mitter R�Beea r,
Contacted
Date Cempleted: Completed by:
2 �- $ ' �$ . �G�.�`�.
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City of Fridley
Water Department S�7 # �j���
6431 University Avenue NE
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. i understand that the property owner is liable for the water line from the main to the premise and all iMertor
plumbing. (Per Cityt code 402.06) I aiso hold the C'ity of Fridley and/its employees harmless for any damages that may occur while dotng this
operation. This to include,but not limited to valves,piping,walis,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 READIN6(old meter) � � ��� L O
Name: �S�`� YWh�V Address ��� � �� � •
Phone Number �-V rZ"" � ` � 1 I�+'� Date � '� v ' � �
�S��gnature itness Signature
OLD METER# C���V SIZE & STYLE(Circlel
OLD READING � ����V 5/8" HEX
NEW METER# ` ` ` I � D`�" � 1" HEX
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NEW READING � 1'r4" ELIPTICAL or HEX
ERT# � a�� ti �°► � 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or ding for which the
application is made,the owner or contractor shail be required to obtain a permit for wch connection,and sha8 pay permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departme�rt shall be notifi It shall be unlawful to�ver
any conneding line until an inspection has been made and such connection and the work incident thereto has n approved by the C(ty as a
proper and suitable tonnection.
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 lead has
been extended to the property line for connection,the applipnt,owner,or occupant or user of such premises shail be liabie 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 property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily 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 the main indudir�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)