Meter Swap j
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�, �%" .-°�``� Request Number: 14249
� 'c Wo I�vision
� Service quest
Probl m Address: 6529 Arthur St quested B�+: Robert Disclrin�er
De ment: WATER A�ddress: No ad�esa provided
Probl �/Issue: NRN WATER ON/OFF P6o�Number: 571-0149
Sehedule 2017-03-24 5cheduled 11me: 10:00:00
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ACTION NEEDED: � � �,��
Created by: Wendy Hiatt Date Created: .� 2017•03-22
ACIION TAKEN:
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Statas: In Progress SYbe�itter Hat Beee r,
Coatacted
Date Com�eted: Completed by:
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City of Fridley
Water Department 5� � � ` C,�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridiey 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
plumbing. (Per City code 402.06) I 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,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. 1 „� _c��q y�� �
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FINAL METER READING(old meter) 'g���✓_�
Name: Address L��� t ����'"�
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�-- 1Phone Num Date
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Signature� ness Signature ,_,_
OLD METER# V / �� ���I�
OLD READING I t �S ��V �
NEW METER# L td� ����
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NEW READING
ERT# � 1 �"�IC�l.1�
FRIDLEY CITY CODE
;
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN{STRATION
(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 wnnecting the existing municipal system and any house or buildiag for whkh the
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� application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permft fee as provided in
� Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 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�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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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 p�operty line for connection.the applicant,owner,or occuparrt or user of such premises shal{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 ow�er
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�ecessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of tbe applipM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main iocluding debris 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
grede of the land or property. (Ref 638,1156,3191)
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