Meter Swap �� ''
� l. . [:eiy nJ'
Fridley
Request Number: 17365
Pub�c Works I�vision
�(�Q�$'�- Service Rec�st
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Problem�ress: —�699-68th��tve Rcquested By: Teresa or S�
Department: WATER. Address: No sddress provided
Problem/Issue: INSTALL AMR METER Phooe Nnmber: 571-0010
Scheduled D�te: 2017-12-OS Sc6eduled 1lme: 12:Ud:00
ACITON NEEDED:Ga to 1652 69th A�to get Icey
Crea�ted by: We�y Hiatt Date Cre�d: 2017-12-04
AC'IION TAKEN: �.
.�..._____._.__.__._��... ����_"LL___...__. T ���� ___.._ ..........__.._.__.._._...
Status: In Progress ���er Has Been r.,
Cautacted
Ds�te Completed: Completed by:
�a�� !` � ���
�� ���
City of Fridley
Water Department �a.
6431 University Avenue NE ��� —S�>y��
Fridiey,MN 55432
763-572-3566
f/we he�eby authorize the City of Fridiey 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) 1 also hold the C'ity of Fridiey andfits employees harmless for any damages that may occur wbife doing this
operation. This to include,but not limited to vaives,piping,walts,floors or the curb stop box and service line. In urnlerstand I am also requtred
to obtain a permit prior to any work,if necessary.
FlNAL METER READING(old meter)
Name: Address �(�3��� �i►�-2_
Phone Number Date ��,T_���
Signature Witness Signature
OLD METER# 3a� :��� a� sizE & STYLE ICircle)
OLD READING '���-3�`�� 5/8" HEX
NEW METER# �������g " �
NEW READING [ / 1�4" ELIPTICAL o� HEX
ERT# ��� � � ��� 2" ELIPTICAL or HEX
FRID4EY CITY CODE .
CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,115fi,1191)
402.5 PERMIT FEE
Prior to constructing nr repair of any water of sewer line conneding the existing municipal system and arry house or building for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as pr�ided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfuf 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 suitabie connection.
402.Ob REPAIRS AND MAINTENAfVCE TO CONNEC7'ION
After the initia!connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the property 11ne for connection,the applicant,owner,or occupaM or user of such premises shaN be liable for ail repairs
required to any water line a�d 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 shall be charged for the costs of the maintenanae andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the respo�sibility of the appliprrt,
owner,occupant or user to perform standard maintenance of the sewer service fine from the premises to the main including debris dearing 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 638,1156,1191J