Meter Swap i
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Request Number: 15373
Public works Division
Service Request
Problem Aeddress: 161 Pilot A�e Requested By: Miriam
Department: WATER Address: No address provided
Problem/Issue: INSTALL t1MR ME1ER Phone Number: 763-706-7055
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Scheduled Dxte: 2017- 5-19 Schednled TIme: 09:00:00 �
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ACTION NEEDED: ;
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Created by: Wendy Hiatt Dnte Crexted: 2017-OS-16 !
ACTION T N: '
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Sabmitter Hsa Been I
Status; Tn Progress Contacted r '
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Date Completed: Completed by:
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City of Fridley
Water Departrnent � #' (�l��
fi431 University Avenue NE
Fridiey,MN 55432
763-572-3566
��W� 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 interior
p{umbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocaar while doing this
operation. This to inctude,but not limited to valves,piping,walls,floors or the curb stap box and senrice line. In u��derstand 1 am also required
to obtain a permit prior to any work,Ff necessary.
FINAL METER READING(otd meter)_ �l � ` ' �
Name: ��r � Address L.C�' �� � �
Phone Number ��C J� r��T ��V�Date _ l� � 6�✓ �
Signature Witness Signature
OLD METER# ����� � 1
OLD READING_�.J �� � (iCl
NEW METER#�'�-v �'�!���0
NEW READING O
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AAID SANITARY SEWER
ADMINISTRATION
(Ref Ord No 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 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 shaii pay a permit fee as prorided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be not�f'ied. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNEC170N
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water seroice tead has
been e�ctended to the property fine for connection,the applicant,owner,or occupant or user of such premises shall be�iable 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 C'rty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by a�administrative poiiry. It shail be the responsibil'rty of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including 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)