Meter Swap �1
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F�a��y
Request Number: 17374
Public works D�vision
9ervice Re�est
Proble�Address: 1654 69th A�e Reqnested By: Teresa or Samaa�t9a
Department: WA1ER Address: No address providsd
ProblBm/Issne: INSTALL AMR ME1ER Phone Number: S�1-0010
Sc�duled Dxte: 2017-12-OS Sc6ednled 13me: 12:00:00
ACTION NEEDED:Go to 1652 69th A�e to get key
Created by: Wendy Hiatt Date Created: 2017-12-04
ACIION TAI�N: ��
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Status: In Progress ���er Has Been r
Contacted
Date Completed: Completed by:
i� �7 '17 ���'�---
City of Fridley S� S�3J
Water Department
6431 University Avenue NE ��a,���v,V �
Fridley,MN 55432
763-572-3566
IJwe hereby authorize the C'�ty of Fridley and/or its employees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and ail iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its emploYees harmless for any damages that may o�r while doing tfiis
aperation. This to include,but not limited to valves,piping,walls.�loors or the curb stop box and service Ilne. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter)
Name• Address �(Q��
Phone Number Date i '�-✓��t �
Signature Witness Signature
OLD METER# �� 7 / 3 0� r SIZE & STYLE(Cirde)
OLD READING �O -1 J �� � 5/8" HEX
NEW METER# � L / 7' / �b$�7 1" HEX
NEW READING � 1'r4" ELIPTICAL or HEX
ERT# ���o y � g� 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)
4�2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for whkh the
application is made,the owner or corrtractor shall be required to obtain a permit for wch con�ection,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 cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the Cfty as a
prope�and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittal connection has been made to the water service curb stop box or the sewer lead at the property line or a water servic�lead has
been extended to the property line for connection,the applicant,owner,or oaupant or user of such premises shail 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. If the property owner
requests maintenance service or repairs be performed by ihe City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includiag debris ciearing or
root cutting and to maintain the water service curb stop box for operability and ai such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,3191)