Meter Swap . r
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Fridley
Request Numbers 17294
Pubiia vVorks Dlvi�i�n
Servlae Requeat
Probla�Ad�ees: 6069 Wuody Ia Rsq�asled ly: l�t�i
Dep���: WATE� Atidrta: No addra:s p�ovided
Proble�/Iss�e: INSTALt,AMR ME1ER r6ees N�bsr: 763-63fi-9473
Schedtdeed Dals: 201 T-11-21 SE��'f��t: 6�:3Q:00
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Cre��d b�: Wandy I�iatt Dats Cn�s 2017-11-30
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AClION'�'A�N: '
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St�: 1n Progress ��r H�Heee �
Cogtacted
: Date Caerpleted; = Completed by: .
ar �.�,,, 17 ��,
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Hiatt, Wendy
Subject: AMR APPT 763-656-9473 MUSTAFA
Location: 6069 WOODY LN NE
Start: Tue 11/21/2017 8:30 AM
End: Tue 11/21/2017 9:00 AM
Show Time As: Tentative
R�currence: (none)
Meeting Status: Not yet responded
Organizer: Vang, Mai
Required Attendees: Hiatt,Wendy
763-656-9473 MUSTAFA
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City of Fridley ,/,/,�-7�-�� - ��
Water Department ����
6431 University Avenue NE
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Fridley,MN 55432
763-572-3566 � � ����
�/we hereby authorize the City of Fridley and/or its employees to do what is ncoessary to
replace the water meter. I understand that the property owner is liab�e for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hoid the City of Fridley and/'rts employees harmless for any damages that mar occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name:_��S-�� Address �v��n� WovG.r �n
PhoneNumber /�o�J— ��P '��7J Date ri�� 11��' �7
Signature Witness Signature r�.----
OLD METER#_ ��L�� � 71 � 512E & STYLE(Circle)
OLD READiNG 3�� �`I 7 S� 5/8" HEX
NEW METER# ��I 3SJ CY-�(Q 1" HEX
NEW READlNG O 1'r4" ELIPT{CAL or HEX
ERT# 7�37 S�Oo`1 2" EIIPTiCAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER '
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191�
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line wnnecting the existing municipal system and arry house or building fo�which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provtded in
Chapter ii 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 City as a .
proper and suitable connectio�.
402.06 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 servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shatl be liabte for al{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
requem maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,i�cluding necessary street repairs at a rate set annually by an administrative po{iry. It sfiall be the responsibil'rty af the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mair�tain 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 538,1155,1191)