Meter Swap -
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Fridley
Request Number: 17429
Pubfic Works Division
S�rviEe Requ�st
Probtem Address: 7566 Sth St Reque4ted By: Brock
Dep�rtmeni: WATER Addreas:
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Problemlissue: INSTAI.L AMR METER Phone Number: 763-243-1243
Sch,edaled Date: 2017 -l4 �,t Scheduled Ttnne: 09:OO:OQ
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ACTION DED:Non-Responder List
Created By: Wendy Hiatt Dstt CreatNl: 2017-12-i1
ACTION TAIEdN: L ",
lrn.S�. �t�d �'rg �c ��L---_
Statas: New Snbmitter Conta�ctedi false
D�tte Completed: Compdete�l By:
Hours:
1�,� ���17 ��,��
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Ci�y of Fridley
Wat r Department
6431 Uni ersity Avenue NE
Fridl y, MN 55432
76 -572-3566
1/we hereby au horize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is li ble for tbe water line from the main to the premise and aN irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and its employees harmless for any damages that may ocau while dotng this
operation. This to include,but not limited to valves,piping,walls,f rs 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 READIPIG(old meter) � q � � �
Name: ��� Address ✓�� �� �'
Phone Number ���'��J ' ��" i�Date 2'r � �� � �
�Si nature W ness Signature �-
OLD METER# c��U�D� � � � IZE & STYLE Circle
OLD READING �� 1 � � �v �
NEW METER# t� 3� `� �� � " HEX
NEW READING v r4" ELIPTICAL or HEX
ERT# �� J � v� J� " ELIPTICAL or HEX
FRIDLEY ITY CODE
CHAPTER 402.WATER,STOR WATER AND SANITARY SEWER
ADMINI RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to coastructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to abtain permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connectton has been made,the Wat r and Sewer Department shail be not�ed. It shall be unlawful to�ver
any connecting line until an inspection has been made and wch connect n and tfie work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb sto box or the sewer lead at the property line or a water service lead has
been extended to the property line for wnnection,the appiicant,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 th premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the p perry owner shafl be charged for the�sts of the maintenance andJor
repairs,including necessary street repairs at a rate set annual{y by an ad inistrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perForm staodarcl maintenance of the sewer rvice li�e from the premises to the main including debris dearing or
r�t cutting and to maintain the water service curb stop box for ope�abili and at such height as will ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191)