Meter Swap � L�
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Fridley
Request Number: 17329
Fud�llc Worl�a Diviaioe
Servke R��at
Problem Ad�eaa: 1579 68ih A�a IEeqae�ted By: Terasa or S�
Depsrte�eAt: WATEIt Address: No address pro�id��d
Probiem/issue: INSTAL.L AMR r�fETER P�o�NuteMr: 571-0010
ScLed�ded D�e: 2017-12-05 Schedtded Tlme: 09:00:00
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AC`IION NEEDEIi:!"i�ter�t1�M���f�11��ttay
Cre�ed by: Wendy Hiatt D�s Crertad: 2017-11-29 __
ACTION TAKEN:
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Status: In Progress 5�bmitter�Bee� �,
Contacted
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City of Fridiey �Q� ' -�-J�`j,3�� ' � �
Water Department
6431 UniversityAvenue NE C�� S�j� �
Fridley,MN 55432
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763-572-3566
�1We hereby authorize the City af Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water fine from the maln to the qremise and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley andfits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In under,;tand I am also required
to obtain a permit prior to arry work,if necessary.
FINAL ME7'ER READING(old meterj (�� � � �/ `�
Name: ��� ��G� Address l� �� 1 ��� 1�C�/`
Phone Number �� �� v b f � Date � � J � � �
�.�.�
Slgnature Witness Signature
OLD METER# ��`�� � SIZE & STYLE Circle
(
OLD READING a���� 3 o� 5/8" HEX
NEW METER# ��� f ��a 1 1" HEX
NEW READING � 1�4" ELIPTICA or HEX
ERT# �°�� � _ t � �LI 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191�
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existi�g municipal system and arry fiouse or building for which the
appiication is made,the owner or coirtractor shali be required to obtain a permit for such connection,and shail pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any oonnecting line unti!an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
402.06 REPA{RS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water sgrvice 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 ItaWe for aN repairs
required to any water line and sewer lines necessary for connection of the premises trom the main to the premises. ff tNe property rnvner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the main#enance and/or
repairs,inctuding necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability a�d at such height as wili ensure that it remains above the flnlshed
grade of the land or property. (Ref 638,1156,1191}