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Fridley
Request Num�er: 17377
Public works lAivision
Servtce Requeat
Probleei Ad�eaa: 1441 73rd A�e Reqnested By: Brittany
DepArtmeat: WA1ER Address: No address provided
ProblemJtssue: INSTALL AMR METER P6oHe Number: 612-325-9452
Sched+�le�Dafe: 2017-12-11 � Schedoledllme: 08:30:00
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ACITON 1�TEF.DED:
4
Created by: Wendy Hiatt Date Created: 201'7-12-04
ACIION TAI�N:
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Status: In Progess ���er Has Beee r
Contacted
Date Completed:�� l� Completed by: �
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City of Fridley
Water Department ��3„S-��'/��d3
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby 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 irrte�ior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may oavr whNe doing�is
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: `'�nr"��Lt l�l-�/ Address ��%� [J �� /�i'� G
Phone Number Cl/,��� ��il�� !�� Date `��(' C�� ��
�5i n�r= Witness Signature �'-"'
OLD METER# c�O 7 �1 R'� S{ZE & STYLE(Circlei
OLD READING �a�� L� (�O 5/8" HEX
�y� �� �
NEW METER# �
NEW READING Vd�'/ d i' EIIPTICA r HEX
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ERT# 2" ELIPTICAL or HEX
7a� ��I�J S� 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 contractor shall be required to obtain 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 shatl be notifled. ft shaN be unlawFu{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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittai connection has been madi�to the water service curb stop box or the sewer lead at the property line or a water se�vice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shall be liabk 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 the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line 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�nished
grade of the land or property. (Ref 638,1156,1191)