Meter Swap �1
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Fridley
Request Number: 17373
PubNc Works INvision
Service Requcst
Problem Addresa: 1652 68th Ave Reqnested By: Teresa or Sun�tha
Departmeet: WA1ER Address: No address provid�xd
Problem/Issue: INSTALL AMR METER Phone Number: 571-0010
Sc6eduled Date: 2017-12-OS Schednisd 1lme: 12:00:00
AC'IION NEEDED:Cio to 1652 69th A�to get key.
Created by: Weucly Hiatt Date Cre�ted: 2017-12-04
ACIION TAItEN: �(
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Status: tn Progress Sabmitter Has Been r
Cont�ted
Date Completed: 'a�5—I`J Completed by: ��`n��
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1 City of Fridley 5 � � �� � s
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
t/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liabie for the water line from the main to tfie premise and all interior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oca�r while doing tbis
operation. This to include,but�ot limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand f am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READ{RG(old meter) "' � � � � ��
,�. �'��2� � �,�,,,e� ��� C9� �'" �v�,
. �7 /^ �� c� � _ � � �
Phone Number Date ~
Signature Witness Signature �"—�
OLD METER# O�d� � � � � �� SIZE & STYLE(Circle)
OLD READING � 6�� ��� 5J8" HEX
1! NEW METER# `�� / b C/ / " X
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NEW READING " 1 i4" ELIPTfCAI or HEX
ERT# ��l�� ( �V!� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT fEE
Prior ta constructing oc repair of arry water of sewer line wnnecting the existing municipal system and arry house or buiiding for whPch the
application is made,the owner or corrtractor shatf be required to obtain a pe�mit for wch cflnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewe�Department shall be notified. It shall be uniawfui to cover
any connecting Ilne until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the i�itial 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 tine for connection,the appiicant,owner,or occuparit or user of wch premises shail be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the property owne�
requests maintenance service or repairs be perFormed by the City,the p�operty owner sbaN be charged for the costs of the malntenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative poliry. It shall be the responsibility of the appllcaM,
owner,occupant or user to perForm standard maintenance of the sewer service line f�om 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 638,3156,1191)