Meter Swap � � �
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Fridley
Request Number: 17337
YubNc woii�a Divi�ion
��' Servke Request
�,:
Problem Address: 1661 68th Ave Rcquested By: Tares�or 3�a
Depprt�a�t: WATBR Addre:s: No add�sa provi�
Problem/Is�us: IN�TALL AMR ME'IER Pl�ne N�ber: 571-0010
Schedaled Hate: 2017-12-07 Sc�ded'l3me: 09:00:00 .
�T� 1'�
AG7IOl�i��o tio c�fce at 1652 69th Av�e�gct kay
Created by: Wendy Hi�t Date Cres�ted: 2017-11-29
ACIION T�N:
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Statas: In Pro�ess Snbmittor Aaa Beea �
Contuted
Date Completed: Completed by:
��Y� v �� �.��
,
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City of Fridley
Water Department
6431 University Avenue NE ��v�, _������'v l
Fridley,MN 55432
763-572-3566
1/we hereby autho�ize the City of Fridley andjor its employees to do what is necessary to
replace the water meter. {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) f also hold the City of Eridley and/its employees harmless for any damages that may occur while doir�g this
operation. This to indude,but not iimited to valves,piping,walls,fl�rs or the curb stop box and service line. In understand f am afso required
to obtain a permit prior to any work.if necessary.
fINAI METER READING(old meter) a 3�� c�� �o
Name: 1"' "��'1� Address I��1 � " � "' l�
Phone Number ° 1; �v v v,� Date 1� � ` — ' �
--�-------.
Signature WiMess Signature
OLD METER# aa5� �� 5`� SIZE & STYLE tCirclel
OLD READING a�5� � c d� SJ8" HEX
NEW METER# ` i �" l Y�� � 1" HEX
NEW READING � 1'r4 ELIPTICAL or HE
ERT# ������ Z" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(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
appiication is made,the owner or contrador shall be required to obtatn 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. R shaii be unlawful to cover
any connecting line until an inspection has been made and such connecCion and the work incident thereto has been approved by the City as a
proper and suitable connection.
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 servke lead has
been entended to the property line for connection,the app{icant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer li�es necessary for connection of the premises irom the main to the premisss. ff the property owner
requests maintenence service or repairs be performed by the City,the property owner shall be charged for the costs of the maimenance andjor
repairs,inciuding necessary street repairs at a rate set annualty by an administrative poliry. It shal�be the responsibility ofi the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service fine 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)