Meter Swap � ' �i
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Fridley
Request Number: 17366
P�nLtc Ww�ka Divislon
Serv�ce Request
Pra�em A�ddresa: 1596 68th A�e Requested By: Teresa or�utha
Departme�t: WATER Addreas: No ad�eas pro`ndcd
Problem/Issae: INSTALL AMR METER Phone Number: 571-0010
Schedmed I�te: 2017-12-OS Schedaled 1lme: 12:00:00
ACTION NEEDED:Go to building 1652 69th A�to get key
Createdby: Wendy Hiatt Date Created: 2017-12-04
ACTION TAI�N: "
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Status: In Progress Snbmitter Hns Been r
Contacted
Date Completed: t�� �_ t� Completed by: \
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City of Fridley �� � �� � �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorite 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 liable for the water line from tfie main to the premise and all iirterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limtted to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ' � �� �
Name: ��5�` Address ���"'� w v � � '^' `''
Phone Number �� � �� �� Date �2-� � ��
x Signature Witness Signature
OLD METER# ���V/ l � ` � SIZE & STYLE(Circlel
OLD READING �� I 1 � ` b 5/8" HEX
NEW METER# ` 6 1 1 � � � � 1" (HE
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NEW READING v 1'r4" ELIPTICAL or HEX
ERT# �� � ` � � �� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(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 contractor shall be required to obtain a permit for such connection,and shalf pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai 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�nnection,the applicant,owner,or occupant or user of such premises sfiail be Ifabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requem maintenance service or repairs be performed by the City,the p�operty owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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)