Meter Swap �
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Request Number: 17333
P�c works Divbton
Service Requeat
Problem Addre::: l 629 68th Ave Reqn�sted Hy: Tarasa or 3�nfdhr
Departmeat: WAZF1t Addres:: No sidc�resa pruvidad
Problem/Lane: Il+iSTALLAMRMETER P6oaeNombor: 571-Wt0
5cheduled�te: 201'1-12-06 Sc�led Tljus: 09:OO:flO
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ACIION NEEDEI�;�k►�#i�.�63�6�}�li��'ll� ,
��'ri
Cre�t�l by: Wendy Hiatt Date G�eated: 2017-11-29
AC"IION TAI�N:
�5 �-�f�� � ��z ?` ��y�,l,��
Stxtus: In Progress ���er Hau Beee r
Cont�ted
Date Completed: ��_ � _ r'7 Completed by: �a�n
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30� � 5�� �-� b - � �
City of Fridley ��� ��h �
Water Department V
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we herehy autho�ize the�ty of Fr+dley andjor its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from tfie main to the premise and ail interior
plumbing. (Per City code 402.06) I also hold the City of F�idley and/its employees harmfess for any damages that may ocar while doing this
operation. This to include,but not limited to vafves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtai�a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � � �� � �O
Name: �`�' ���'" Address � V!� `S/ �
Pho�e Number �� t ��4� v Date ��~ �� ` �
Signature Witness Signature
OLD METER# � � -I � 3� l �� SIZE & STYLE(Cirde)
OLD READlNG � J ��J ", dV 5/8" HEX
NEW METER# F� V I l�� � 1" HEX
NEW READING v i i4" ELIPTICAL or EX
� �
ERT# GD�Ix � � � J �/ 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 4U2.WAl'�R,STORM WATER AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whid�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 provided in
Chapter li of this Code. ARer such connection has been made.the Water and Sewer Department shall be notif'ied. it shall be unlawful to cover
any connecting line until an inspection has been made and such conneccion and the worlc incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENATICE TO CONNECTiON
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property 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 connection of the premises from the main to the premises. tf the property�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�enance andjor
repairs,including necessary street repairs at a rate set a�nuaily by an administrative policy. It shall be the responsibility of the appliqnt,
owner,occupant or user to perform standard maintenance of the sewer service line from tfie premises to the main incfuding debris clearing or
root cutting and to maintai�the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)