Meter Swap i � �
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,;: r�or
Fritlley
Request Number: 17339
� Pu�c Wo�ica Dlvi�io�
Servke Reqaest
Troblem A�resa: 1673 68th Ave Req�ted�y: Teres�t or S�
;Departmegt: WA1ER Acldre�: . No addrasa providtd
Problem/I::uc: INSTALL AMR ME'IER �hom Nnmbar: 571-0010
Sci�d� e: 201?-12-0 SaMdale 1lme: 11:00:00
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ACTION NEED�Dt�'io to of�e a!t852 6�A�e Ic�et losy
Created by: WendyHiatt DRte Cr�ated: 201?-11-29
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ACTiON TAi�N: �`2 I1 A
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Status: In Progress Snbmitter Aa�Becn r
Coutaeted
Date Com�eted: �2�—l� " Coe�eted by: ���o
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City of Fridley
Water Department "� � a_S�/��'v ,
6431 University Avenue NE
Fridley,MN 55432 �v ��,/
763-572-3566 �
1/we hereby authorize the City of Fridley and/or its employees 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 premise and all interior
plumbing. (Per City code 402.06) i also hold the C�ty of Fridley andrts employees harmless for any damages that may o�ca�r while doing this
operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) " ��� �`�D
�Name• � � ` ARldress ""� ` � v� / v v�-
Phone Number " l �— ��v Date ��� �� '" �
Signature Witness Signature
��� 18 �8�
OLD METER# � � SIZE & STYLE(Circle)
OlD READING � ������� 5j8" HEX
NEW METER# ���� 1� �� , 1" HEX
NEW READING v 1'r4" EUPTfCAI or HE
ERT# 4� �� � l O� 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 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 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�ver
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIt25 ANO MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead�t the property line or a water service Head has
been extended to the property line for connectlon,the applicant,owner,or oaupant or user of such premises shall be tiable tor ali 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 maiMenance and/or
�epairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)