Meter Swap ��
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Fridley
Request Numb�r. l?327
P�ic Worka D1vl�ioa
�rvke RecA+est ,
Proble�Addre:s: 1586 b8th A� Req�ested Hy: Teresa or Sa�n�
Departrae�: WA'IER Addt�ets: No addresa providsd
Problemll�:ne: 1NSTALL AMR 14tETER Pboae Nnmber: S'f 1-0010
Sche�led D�e: 2017-12-04 5c6edaled 1lme: 1 I:OO:dO
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ACIION NEF�t 6��'ll��l�iM�f�'i+�IM1iil�1'#��l�sy
GYeated by: Wandy Hiatt Date Cr�ted: 2017-i l-29
ACIION TAI�N:
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..�....___...�......_____ _. ' 1`
Statns: In Progress 5obmitter H�Been r
Co�ted
Date Completed: '�_ r„_�� Com�pleted by: � ��
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• � j'� - �b ��`�'l a � ��
City of Fridley
Water Department �s��-3
6431 University Avenue NE ��
Fridley,MN 55432
763-572-3566
�1M+e hereby authorize the City of Fridley and/ar its employees to do what is necessary to
replace the water meter. l understand that the property owner is fiabte for the water line from the main to the premise and all interior
plumbing. (Per C'�ty code 402.06) t aiso hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: ��Y'e5�n Address 4���✓ �V C-` i�v�
Phone Number � I �� vU ` v Date 1�— � ��
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Signature Witness Signature
OLD METER# 1 ��is3 y 7 � SI2E & STYLE(Circle)
OLD READING �� � y�7� 5/8" HEX
NEWMETER#��� �a� � � 1" HEX
�
NEW READING � 1�" ELiPTiCAL or EX
�C� ���
ERT# ��C�'� 3 3 �3� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,fi62,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line�nnecting the existing municipal system and any house or buiiding for wfiich the
application is made,the owner or cor�tractor shell be required to obtain a permit for such 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 notifted. lt shall be unlawfui to cover
any connecting line until an inspection has been made and such conned+on and the work incident thereto has been approved by the C'rty as a
proper and suitable connection.
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 properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection 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 mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard mai�tenance of the sewer service line fsom the premises to the main inctuding debris clearing or
root cutting and to maintatn 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 638,1156,1191)