Meter Swap � f
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<A.;:�;� Ciiy Of
FriK���►
Request Number: 17686
-,,>', P�Itc worka Dtt►lsion
Servke Re�st
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Proldem Ad��s: 212 Panarama A� Requeated By: Msk
Dep�rtmsut: WA'IFdt Addre:s: No Addrass provided
Problem/Zsane: INSTALL AMR METER Pboee Namber: b12-986-2246
Sci�eduled Date: 2018-02-OS Sc6ed�led 71me: 01:30:00
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AC'IION NEEDED:AMR
Created by: Wendy Hiatt D�e Created: 2018-02-03
AC"IION TAI�'.N:
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Statu:: In Progress ����r Hau Been � .
Co�acted
Date Comgleted: Con�pleted by:
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City of Fridley
Water Department ��S-�"?��Ov� '
6431 University Avenue NF � (� � ���
Fridley,MN 55432
763-572-3566
�/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 irrterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may ocxur while doing this
operation. This to include,but not IimPted to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)
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Name• 1""��''r� Address � �� ��U�V 1 ��� '��
Phone Number �� '" ` �W � �"��Date � ✓ � "� �� ,�(�,��,a,�^'��g � �p�
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�Sigl na0ture Witness Signature �
OLD METER# ��� r � �N v c� SIZE & STYLE(Circlel
OLD READING ����`'"-' � 5/8" HEX
C� �
NEW METER# ��/ {V I � V 1 1" HEX
NEW READING v 1�4" EUPTICAL or HEX
ERT# 4 � ���O �V 2" ELIPTICAL or HEX
FRIDLEY CITY CODE �
CHAPTER 402.WATER,STORM WATER AND SANIT 5 W�R
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
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402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawfyi to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by th City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�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 liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shail 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 shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debrls clearing 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)