Meter Swap r
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Gry Of
Fridley
, Request Numb�r: 17368
�'u�lic Worlcs Division
Scrvice Request 4
;
Problem A�deess: 1597 68th Ave Requested By: Teresa or S�tha
Department: WATER Addresa: No address provided
Problem/Isane: INSTALL AMR METER �6ane Number: 571-0010
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Sche�uled Date: 201?-12-04 Scheduled 1Tme: 12:00:00
AG7ION NEEDED:Cno to 1652 69th A�to�et key '6
Created by: Wendy Hiatt Date Created: 2017-12-04
ACIION TAKEN: f 1 t
`�ns� l f�e� �- ;��-C�-�
Status: In Pro�ess Snbmitter Has Been r
Cont�ted
Dxte Completed: '�- �j- �� Co�eted by: �`, �
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.� ;��y ,
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City of Fridley �..L r
3fl2 - Sd � � ao - �' i
Water Department S(j �" �7� �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we hereby authorize the City of F�idley andjor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is 1'�able for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hoid the City of Fridley and/its employees harmless for arry damages that may ocaur wbile doing this
operation. This to inciude,but not limited to vaives,piping,walls,floors or the curb stop box and servite line. In understand I am also nequired
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG{old meter) d ! �✓ v ��
Neme: �`e,�,5 C. Acfdress 1 � 1 � l_I/ �� ��
Phone Number �� �� �� � � Qate �2. � �'� l [
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�Signature Witness Signature
���[�' � � ��
OLD METER# � SIZE & STYLE tCirciel
OLD READING ✓� � j `-'�`r 5/8" HEX
NEW METER# ��� 1 1 � �� 1" /HEX
('`''� �
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NEW READING v 1�4" ELIPTICAL or HEX�
ERT# t � � ( � � 1� 2" ELIPTICAL 4r 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 ar►y water of sewer line connecting the existing municipal system and arry house or building for whkh the
application is made,the owner or contractor shali be required to obtain a permit for wch cannection,and shalf pay a permtt fee as provided in
Chapter il af this Code. After wch connection has been made,the Water and Sewer Department shall be nat�ed. It shail be unlawful to cover
any connecting line until an inspection has been made and such co�nection and the work incident thereto has been approved by the City as a
proper and suftable connection.
402.06 REPAIRS AIVD MAINTENANCE 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 line for connection,the applicant,owner,or accupant or user of wch premises shall be liabfe for ait 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 sha{I be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set an�ually by an administrative policy. !t shali be tfie responsibility of the applicar�t,
owner,occupant or user tv perform standard mair�tenance ot the sewer service line from the premises to the main including deb�is tlearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as wili ensu�e that it remains above the finlshed
grade of the(and or property. (Ref 638,1156,1141)