Meter Swap . `
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r��of
Fridley
Request Number: 17371
P�c works DivL�ion
Sen►ice Request
Problem Address: 1613 68th A� Requested By: Terosa or S�n�
DepartmeM: WA1ER Address: No add��ess provic�ed
Problem/Issue: INSTALL AMR 11�TER Plwae Nnmber: 571-0010
Sc6ednled Dxte: 2017-12-03 Sc6edWed 1lme: 12:00:00
AG7ION NEEDED:Go to 1652 69th Are to get key
Created by: Wendy Hiatt Date Created: 2017-12-04
AGIION T.AI�N: �� �
. _....��1��....._....___.... � ........._._._�.�....� ______
Status: In Progress Subm�tter Hns Been r
Contacted
Date Completed: Completed by:
t�, v � ��� �
' ` �0�- � � � � u0 ` Oti
City of FridleY S� �-- Lj--� g'"1
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we he�eby authorize the City of Fridley and/or its empioyees 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 premi�and a{I iMerior
piumbing. (Per City code 402.06) 1 also hoid the City of Fridley andiits employees harmless for any damages that may oua�r while doing this
operation. This to include,but not limited to valves.piping,walls,floors or the curb stop box and servite line. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: Address �b (� (,���h ���J
Phone Number Date __ �2�_ b � �,
Signature Witness Signature
OLD METER# oZ� �(�7�JO�] SIZE & STYLE(Cirdel
OLD READING___��3� 3� 5/8" HEX
NEW METER# "t��6I LIO�� 1" HE
NEW READING � 1'r4" ELIPTICAL or HEX
ERT# � a'�y��Z 2" ELIPTICAL 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 construding or repair of eny water of sewer line conneciing the existing municipal srstem and any house or buildtng for which the
application is made,the owner or contrador shall be required to obtain a permit for such wnnection,and shall pay a permR fee as provided in
Chapter 11 of this Code, After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unlawFul to cover
arry connecting line until an inspedion 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 REPAIRS AND MAINTENANCE Tp CONNEC7'ION
After the initial connection has been made to the water service curb stop box or the sewer{ead 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 tiabk for a0 repairs
required to any water line and sewer lines necessary for connection of tfie premises from the main to the premises. If the property owner
requests maintenance service or repairs be per�ormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service fine from the premises to the main induding debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such he+ght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)