Meter Swap :�
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� ,, Request Number: 14549
� Public works Division
Service Request
Problem Address: 1413 Glacier Ln Requested By: Christina Seagren
Depnrtment: WATER Address: No a�lress provid�ed
Problem,�sue: INSTAL,L AMR METER Phone Number: 612-363-7503
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Sche�led Dxte: 2011-04-13 Scheduled Tlme: 07:00:00
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ACTION NEEDED:
Crexted by: Weady Hiatt Date Crested; 2017-ti4-06
AC'ITON TAI�N:
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................ ._______w._..___........._.__.�._.�... ._.._......................._.____.__.__..._......_..__..__�_.___.._�...._._. _ .µ._ �___ ��,-
5tatns: Tn Progress Submitter H�s Been r.
Contacted
Dxte Completed:� � �3 r�� Completed by:����
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. City of Fridley
� Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property ow�er is liable for the water line from the main to the premise and all i�rterior
plumbing. (Per City code 402.06) I also hold the City of Fridley andJits employees harmless for any dam�es that may oawr 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 requined
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �""-� ��� `�
Name: e--�11'��Lj '�`I�(n6� �f G�^Y'E1�1 Address 1-6�� lT�fi�G�`e�' � -
Phone Number � ��^ ��� ���d� Date - 1 � l 7� I I
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Signature Witness Signature
OLD METER# � " � � . ��
OLD READING `+' � " ��
NEW METER# � ��a� ` � °�"
NEW READING �
ERT# ` �� 1 J�
�RlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Orcl No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
A02.5 PERMR FEE
P�ior to constructing or repair of ar�y water of sewer line cannecting the existing municipal system and arry house or building for which the
appiication is made,the owner or wntractor shall be required to obtain a permit for wch connection,and shall 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 notified. It shati be unlawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAfRS 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 fine or a water service lead has
been extended to the property line for connection,the appfiqnt,owner,or occupant or user of such premises shalt 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 pe�formed by the C1ty,the property owner shal{be charged for the wsts of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuafly by an administrative poliry. It shall be the responsibility o#the applitarrt,
ow�er,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiN ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)