Meter Swap COPIED TO THIS ADDR IN ERROR 1135 73RD t/
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Fridley �
Requeat Number: 17770
Pub�e works Dfv�ion
Servke R,equest
Probiem Addreas: 1135 73rd A� Reqneated By: Dustin w/Ri�Way C�ilcing
Departmeat: WATFdt Address: No addrass ps�vidsd
Problemllsane: INSTAI,L AMR ME1ER Pho�e Numbar: 763-780-4102
Sehedaled Date: 2018-02-20 Sehedaled 1lme: 09:00:00
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ACIION NEEDED:AMR
Cre�ed by: We�y Hiatt Date Crexted: 2018-02-1 S
ACIION TAI�N: �'
a_N__s__-�-.. � �
Statu:: In Progress ���er Haa Been r
Contacted
Date Completed: Completed by:
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City of Fridley �ay��v �
Water Department 3�3 � �
6431 University Avenue NE
Fridley,MN 55432
763-5723566
�/We hereby authorize tMe City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise aod all irrterior
plumbing. (Per C'rty code 402.06) I also hold the Gty of Fridley andrts empioyees harmless for any damages that may occur while doing thPs
operation. This to include,but not limited to valves�piping,walts,floors or the curis stop box and se�line. In urnierstand 1 am a{so required
to obtain a permit prior to any work,if necessary.
FINAL METER READING old eter ���� �% ��
( m
Name• Address '� � J� `� � ��
Phone Number ate '�' 1' 1
Signatur �tness Signature
{r,
OLD METER# � + l t V� ���`
SIZE & STYLE(�rcle)
OLD READING � '1 (7 1 �KJ� 5/8" HEX
NEW METER# �� �9 �! � a � 1" HEX
NEW READING i'r4" ELIPTICAL or HEX
ERT# ���"l o��� 2" ELIPTICAL or HEX
FRIDLEY CI'IY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9&8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constrwcting or repair of any water of sewer line connecting the existing municipal system and any house or buildir�for whith�e
application is made,the owner or contractor shall be�equired 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 a�d Sewer Departme�rt shall be not"sfieci. it sha8 be on{awfu{to cover
arry connecting line until an inspection has been made and such connection and the work inddent thereto has been approved by the City as a
proper and suitable wnnection.
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 propertq line or a water servioe lead has
been extended to the property line for connection,the applipnt,owner,or occupant or user of such premises shall be liable for ali repairs
required to any watcr Ifne and sewer lines necessary for connection of the premises from the main to the premises. tf i�he property owner
requests maintenance service or repairs be performed by the Ctty,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 poliry. 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 induding debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above finished
grade of the land or property. (Ref 638,1156,1191)