Meter Swap � ' �i
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F�a1�y
Request Number: 17367
P�c Works Division
Servke Requeat
Problem Address: 1596 69th Ave Requested B,y: Teresa or S�
Departeieat: WATER Address: No adc�ress provided
Problem/tssne: IN5TALL AMR ME'IER Phone Namber: 571-0010
Scheduled D�e: 2017-12-OS Sc�edule�Time: 12:00:00
AC'IION NEEDED:Go to 1 dS2 69th A�e to get key
Created by: Wendy Hiatt Date Cre�ted:, 2G 17-12-04
ACTION TAI�N: �1� /��
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_._.___.._�:��.1.........._.._............._____..............................._. r_.______w..
5tatus: In Progress Snbmitter HAs Been r
Contacted
Date Completed: Completed by:
12- 7-l ? �"���-�--
i
City of Fridley �� ���
Water Department
6431 University Avenue NE .��„� ,��.�)J��
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley andjor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all irrterior
plumbing. (Per C1ty code 402.06) I also hoid the City of Fridiey andiits empioyees harmless fo�any damages that rnay ocair while doing this
operation. This to include,but not limited to valves,piping,walis,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.
fINAI METER READING(old meter1
Name: Address ,� ��� �"1 �
Pfione Number pate___ _ . ��-�7���
Signature Witneu Signature
OLD METER# ����3 ��J SIZE & STYLE IGrcle)
OLD READING �e:�����D Sj8" HEX
NEW METER# "t l � t � Z � EX
NEW READING � i h" EUPTICAL or HEX
ERT# 7�� y �8��1 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 of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrector shall be requlred to obtain a permit for such connection,and shall pay a permit fee as provjded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shali be unlawFui to caver
any connecting line unttl an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO C�NNECTION
After the initial connedion has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of 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. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at such fieight as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j