Meter Swap . I � )
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Friclley
Request Number: 17331
Pt�c worka 1Mvision
Sarvke Request +,�`.;..
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Probleffi Ad�eu: 1607 68th A�e R�qntsted By: Teresa or S�tha
Dep�rt�ure�: h ty WATER Address: No address providad . �
ProblemJls�lle: INSTALI,AMR METER Phoee Number: 571-0010 '�`� �*
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Scheinled l�ate: 2017-12-0 � Sched�led 11�e: 11:00:00 "�,,�k, ' �
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ACTIOI�f��W s�se t�r��2 69th Av�to g�t key
C�eated by: W�ndy Hiatt I1ate Created: 2017-11-29
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Stataa: In Progress Snbmitter Hns Beee r
Conta�cted
Date Completed: ��—�Q—�� Completed by: � t,�
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City of Fridley ��� ��� � �� � � I
Water Department
6431 University Avenue NE
Fridley,MN 55432 � �-tj�0O
763-572-3566
// 1/we hereby authorize the C'rty of Fridley and/or its employees to do what is ne�ssary to
rep{ace the water meter. i understand that the property owner is liabie fo�the water line from the main to the premise and all iriterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but�ot limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a pesmit prior to any work,if necessary.
FINAL METER READING(oid meter} � + � ' � �" �
Name: �L'° `' ��- Address (lL��� V�� �
PFwneNumber � { �� v� �`� Date ��� �� / t
Signature Witness Signature
OLD METER# �� � d �� �� SIZE & STYLE(Circlel
OLD READING �� � � ���d 5/8" HEX
NEW METER# � r /� �� � I 1" HEX
NEW READING � 1' ELIPTICAL or EX
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ERT# ` � � 1 ���"� 2" ELIPTICAL or HEX
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,6fi2,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and an�house or building for which the
appiication is made,the owner or contractor shail be required to obtain a permit for such cannection,and shall pay a permit fee as provided in
Cfiapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. tt shall be unlawful to cover
any connecting line until an inspection has been made and such connection and tfie work incident thereto fias been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer iead at the property line or a water servPce lead has
been extended to the property line for connettion,the appiicant,owner,or occupant or user of such premises shail be liable for all repairs
required to arry water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
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 necessary street repairs at a rate set annuaNy by an administrative policy. it shall be the responsibility of the applicant,
owner,occupant or user to perfo�m standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will e�sure that it remains above the Fnished
grade of the land or property. (Ref 638,1156,1191)