Meter Swap . ' `\
�
Cli}'Of
Fridley
Request Number: 17372
Publk works Dlvision
Servtce Rec�st
Problem Address: 1633 68t6 Ave Requested Hy: Terasa or Sam�tha
Departmeat: WA1ER Address: No address provided
ProWe�/Issne: INSTAI.L AMR ME1ER Phone Nnmber: 571-0010
Scheduled Date: 201?-12-05 Scheduled Timc: 12:OQ:00
ACIiON NEEDED:Go to 1652 69th AHe to get key
Created by: WendyHiatt Date Craated: Z01?-12-04
ACTION TAKEN: �u '
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______.--�.�. _�._...�_.�.�..� ........_____._..._._...__._..___._
5tatus: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley Jb � S� l�
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
1 jwe hereby authorize the City of Fridley andJor its employees to do what is�ecessary to
replace the water meter. 1 u�derstand that the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 a{so hofd the C1ty of Fridley and/its empioyees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and senrice Iine. In undetstand I am afso required
to obtain a permit prior to any work,if necessary.
FINAL METER READfN6(old meter�
Name: �►ddress �IJ�3 ( � �� T]���
v -
Phone Number Date y��'� � � � 1
Signature Witness Signature
OLD METER# �a �� ' g�3 SIZE & STYLE tCirciel
OI.D READING 7SS CJ l a� 5j$" HEX
NEW METER# �i9�� �fd 9a � ('�
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NEW READING � 1�" EIIPTICAL or HEX
ERT# ��� ��q�3 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 constructing or repair of any water arE sewer line connecting the existing municipal system and any house or building for which the
applicatio�is made,the owner or contrador sha11 be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall 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 City as a
proper and suita6le cannection.
402.06 REPAIRS AND 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 servics lead has
been extended to the property line for wnnection,the applipnt,owner,or occupaM or user ot such premises shall be liable 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
requests maintenance service or�epairs be performed by the C'�ty,the property owner shall be charged for the costs of the malntenance and/or
repairs,including necessary street repairs at a rete set annualiy by an administrative poliry. It shall be the responsibllity of tlue applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above ihe finished
grade of the land or property. (Ref 638,1156,1191)