Meter Swap � �
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Fridley
Request Number. 17761
P�biic Worka Divbion
Scrvice Rec�eat
Prob(em Addresa: 1590 73 1/2 Avt Requeated By: N�n iJher
Dep�tment: WATER Address: No adtkesa pmvidtd
PraWemll:sne: INSTALL AMRMEIER Phone Nmnber: 651-3'I3-1481
Scheduled Date: 2018 -14 Sc6edyled 1lme: 08:30:00
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AC7ION NEEDED:AMR
Created by: Wendy Hiatt Date Cre�ed: 2018-02-13 ,� . �
ACIION TAI�N: ����
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y.
Statns: 1n Progress Submitter H�Been r.,
Cont�ted
Date Completed: Completed by:
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�
' City of Fridley ���
Water Department ��'�.S�D�'7
6431 Uni�ersity Avenue NE
Fridley,MN 55432 j�� � � �b
763-572-3566
1/we hereby authorize the City of Fridley and/or its employces to do what is necessary to
repiace the water meter. I understand that the praperly owner is liable for the water line from the main to the premise and all interbr
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doir�this
operation. This to include,but not limited to valves.piping,walls,floors or the a�rb stop box and service line. In understand 1 am a�o required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old m¢ter) �/'v �� "' `� �
Name: 1 V(�l�1►�. �/L►u� IWdress I� /d ! 3 '�Z /"zV G
Phone Number -;�� � J 73 " ' f�� Date � � ��'� � v
St nature WiMess Signature
C�/f ��`
•L� METER� ��� � / ( � SIZE & STYLE(Circle)
OLD READING �C����lUG /8" HEX
� �
NEW METER# r � i �� / t J 1" HEX
NEW READING lJ i�4" ELIPTICAL or HEX
ERT# � � �� �0 ` � Z" ELIPTICAL or HEX
FRIDLEY CiTY CODE
CHAP'CER 402.WATER,STORM WATER AND SANITARY SEWER
AOMINISTRATION
(Ref Ord No 113,464,565,566,629�638.662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for whkh the
application is made,the rnirner or contractor shail be required to obtain a�rmit for such wnnection,and shall pay a�rmit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DeparCmeirt shall be notiffed. It shall be unlawful to s�ver
any connecting fine untii an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop boz or the sewer lead at the property line or a water service lead has
bees+extended to the property fine for connection,the applicant,owner,or occupant or user of such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the qremises. tf 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 shali be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris cleari o
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it r�emains above nished
grade of the land or property. (Ref 638,1156,1191j