Meter Swap ��
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Fridiey
Request Number. 17332
Pt�llc Works Division
5ervice Rcqt�st
Probla�A�ess: 1622 68th Av� Reqne�tea By: TerEsa or S�wntha
Depu�tresnt: WA1ER Addresr No address providsd
Preblem/Iasue: INS:fALL AMR METER P�oees N�ber: 571-0010
Sctieduled Da�e:�_���12-Q6 � Sched�sd 13uss: 08:0�:00
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ACTION NEEDEDc-f3�te e;t�ke�sr 1633 69t�t Ave M�ct kay
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' Created by: Wendy Hi�t Date Created: 2017-11-29 �' ���
AC,'TION TAKEN: l, ��� ��
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Status: In Progress ��tter Ha8 Been �., .
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D�te Cbmpleted: Completed by:
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City of Fridley
Water Department J�� �
6431 University Avenue NE r1��,�'l�%�'�
Fridley,MN 55432 �
763-572-3566
�/We hereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andJits 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 stap box and service line. in understand 1 am also required
to obtain a permit prior to any work,if neceuary.
FINAL METER READING(old meter) ��� �v ��
Name: ���� Address �V!�� ��� /��`f'
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Phone Number 7 � �— a C7�:(� Date �� —�^ ��
Signature Witness Signature
OLD METER# �c�� 3� 7� SIZE & STYLE(Circle)
OLD READING � I�� � I�� 5/8" HEX
NEW METER# ��49�a �� 1" HEX
NEW READiNG U 1�4" ELIPTICAL or EX
ERT#_ / �lS�_ 1 3� � 1 2" ELIPTfCAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY 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 existing municipal system and any house or building for which the
application is made,the owner or wM�actor shall be required to obtain a permit for such connection,and shall pay a permit fee as proWded in
Chapter 11 of this Code. After such connection has heen made,the Water and Sewer Department shali be notif'ied. It shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto fias been approved by the Cily as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property line or a water servic�kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ali repairs
required to any 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 mairrtenance and(o�
repairs,inciuding necessary street repairs at a rate set annually by an administrative poltry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standaM maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain 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)