Meter Swap � 1 `�
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ciry o�`
Fridley
Request Numbe�: 17485
Pul#c works Diviaioe
Setvke Re�eat
Problem Address: 5493 Main St Reqnested By: Ste�an-Colomal M�r
Departmeet: WATIIt AddreH: S49S Main St
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER Phoae Nnmber: 612-434-4438
Sc6eduled Date: 2018-01-02 Sc�ednled T1me: 10:30:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-12-27
ACIION TAKEN: `( (,(
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Statns: In Progcess Submitter H�s Been r
Contacted
Date Complcted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE /�� —ySd�cS'7>'�'>3
Fridley,MN 55432
763-572-3566
1/we hereby authorize the C'ity of Fridiey and/or its employees to do what�ne�ssary m
repface the water mete�. 1 understand that the property owner is fiable for the water tine from the main to the premise and alf iirterior
plumbing. (Per Cify code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,fioors or the cu�b stop box and service line. In understa�1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) � �� V�
Name: Address � 1 1 � � ��1-a � �
Phone Number Date ~ `�
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Signature Witness Signature
OlD METER# { 1 �� �trJV� SIZE & STYLE(Circle)
OlD READING ���7 ����� 5/8" HEX ���.�,J�"
NEW METER#_ � r � ���' 1" HEX
NEW READING , 1 r4" ELIPTICAL or HEX
ERT# � � '�J -1 �� �� 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 which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 notffied. It shall be unlawful to cover
any connecting line until 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.� 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 service lead has
been extended to the properly line for connection,the applicaM,owner,or occupaM or user of wch premises shali be liable for all repairs
required to any water line and sewer lines necessary for connedion 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 policy. It shall be the responsibility of the applicant,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debri learing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains a e the finished
grade of the la�d or property. (Ref 638,1156,1191)