Meter Swap � �� �,�� w
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Fridley
Request Number. �7336
PubHc Worl�a Dlviaion
Servkc Reqaest
Prebtem Ad�e:s: 1660 68th A� Reqne�tesd By: Tcresa or S�
Dep�rlme�: WA1ER Address: No addresg providsd
Problem/tasne: INSTALL AMR 11�TER Phone Number: 571-0010
Schednled Date: 2017-12-07 Se6ed�ded 11�: 08:00:00
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ACTION E�a ta����2�9df�v�Is�g�losy
Crea�ed by: We�ty Hi�tt Drte Cre�ed: 2017-11-29
ACTION TAKEN: �
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status: In Progress Sabmitter Aas seen �
Contacted
Date Completed: ��_ 7— '� Completed by: n a�'^
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' City of Fridiey S I' ��j �—
Water Department
6431 University Avenue NE
Fridley,MN 55432 ��� ��--��3�,v�
763-572-3566
IJwe hereby authoMze the City aF 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 iMeripr
piumbing. (Per City code 402.06� I also hold ihe C'ity of Fridley and/its employees harmiess for any damages that may oaur while dang this
operation. This to include,but not limited to�alves,piping,walls,floors or the curb stop box and spervice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FIPIAL METER READING(oid meter) � `� � v O�
Name: �'�y`��G` Address ! �U!V �V ��
Phone Number "J��"""v���� Date _ f��'-` � " � �
Signature Witness Signature
OLD METER# �� � � � L V SIZE & STYLE(Circle)
OLD READ{NG ��� �� ��� 5/8" HEX
NEW METER# ` r 6 !`?�V l 1" HEX
NEW READING � 1 ' ELIPTICAL or �'.�,y
ERT# L��O !�J ',l 1 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANfTARY 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 repaic of any water of sewer line connecting the existing municipal system and any house or building for whicfi the
application is made,the owner or coritractor shail be required to obtain a permit for such connectlon.and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawfut to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitable connedion.
402.06 REPAIRS AND MAIPITEMANCf TO CONNECI'ION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property line or a water se�lead has
been extended to the property line for connection,the applicant,owner,or oaupant or user of such premises shafl be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shalf be charged for the wsts of the mair�tenance and/or
repairs,including necessary meet 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 maiMenance of the sewer service line from the premises to the main induding debris clearing n�
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 638,1156,1191y