Meter Swap � II
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t:,ty.a�
Fridley
Requ�st Num�r: 17370
Pt�Ltc works I�vision
Servke Rec�est
Problem A+ddress: 1612 68th A�e Reqncsted By: Teresa or S�n�tha
Department: WATEI� A,�lr�ss: No address provided
Problemllssue: INS7ALL�1MR 1VIEIER Phone Nnmber: 571-0010
Schediiled Dste: 2017-12-03 Schedaled 11me: 12:O�:W
A�`IIDN NEEDED:Go to 1652 69th A�to get key.
Created by: Wendy Hiatt Dxtt Created: 201�-12-04
ACIION TAI�N: .� �
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Status: 1n Progress Sabm#tter Has Been r
Cont�ted
DAte Completed: Completed by:
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City of Fridley ��� �,_.l�g
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-5?2-3566
I/we hereby authorize the City of Fridley 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 the main to the premise and all i�terior
plumbing. (Per City code 402.06) f afso bold the Clty of Fridley andrts employees harmless for any damages that may ocwr while doing this
operation. This to inciude,but not fimited to valves,piping,walls,floors or the curb stop box and senrice line. In u�derstand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter)
Name: Addreu � b � � � � V.Q�
Phone Number Date �Z"' � ' ��
Signature Witness Signature
.
OLD METER# o Y 5lZE 8� STYLE(Cirdel
.
OLD READING ���� � �O 5/8" HEX
NEW METER# `�t _► �� �� -1 C� 1" HEX
NEW READiNG � 1�4" ELIPTICAL or HFX
ERT# 7��0� b�1 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER A02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4fl2.5 PERMfT FEE
Prior to constructing or repair of any water of sewer line connectir�g the existing municipal system and any hause or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After wch connection has been made,the Water and Sewer Department sfiall be notified. It shali be unlawful to oover
any co�neding line untii 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 connedion.
402.06 REPAIRS AND MAIN'i'ENANCE TO CONNECTION
After the initial 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 Iine for connection,the applicant,owner,or oaupant or user of wch premises shall be liable for ail 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibilitY of the appl(cant,
owner,occupant or user to perform standard maintenance of the sewer senrice 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 remalns above the finished
grade of the land or property. (Ref 638,1156,1191)