Meter Swap �w Request Number: 12940
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Problem Address: 1620 75th A�e Requested By: Devin
Departme�• WA'IER Addresa: 1620 75th Are
Fridley,MN SS433
Problem/fsane: INSTAL,L AMR METER Pho�Number: 507-440-6278
Schednled Date: 2017-0 i-27 Sc�eduled Tlme: 10:Q4:00
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ACTION NEEDED:
Created by: Beth Ko�ck Date Cceated: 2017-01-18
ACTION TAKEN:
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5tatns: 1n Progress ���er Has Been r,
Contutcd
Date Completed: � r ��, ,�—� �� Completed by:
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1Atate��e�sartment <" �; ;� ' � 3 �
6�431 ilniversit,r Averaue NE �
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Fridley,MN 55432 '7��'�j—�� �j��(�—U�--
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753-5?2-3566
�j� hereby authorize the City�f Fridley and/or its empioyees to do what is necessary to
replace#he water sneter. I understand that#he property owner u liabie for#he water line from the main to the premise and all iMerior
pluer�bing. (Per C"rty code 4U2A6) i also hoid tfie�oty of Fridley andrts employees harmiess#or any siamages that may occur while doing this
operation. This to�nclude,but not Bim�ted io valves,piping,walis,floors or the surb stoP box and service line. In understand!am aiso require�
to obtain a permit prior tu any work,if necessary.
FINAL METER REAQING{oid meter) � ` i �O � "
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Name: D'e.V{� Address__ �� L'�
Phone Number �� � `,� 1 �/�"'�Y���Date �� � `� �" /
Signature Witness Signature
OLD METER#��� U�v V 6
OLD READtNG �I �c.� �� �
NEW METER# ����2 f�(g��
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NEW READING �
ERT# � CJ�J � J 1 �� '
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS3RATION
(Ref Ord Alo 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry house or building for w6ic6 the
appiication is made,the owner or contractor shatl 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 Departmern shall be notified. It shatl be untawfui to cover
any connecting line until an inspection has been made and such connedion and the worfc inadent thereto has been app�oved by the Cfty as a
proper and suitabie connQction.
402.06 REPAIRS AND MAIPITENA.1110E TQ COMNEC110N
After the initial connection has been made to the water service curb stop 6ox or the seuver lead at the property tine or a water service lead has
been extended to the property line for connect�on,the appliprrt,owner,or accupant or user of such premises shatl be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner
requests maintenance service or repairs be performed by the City,the property owner shatl be+charged for the costs of the mairrtenar�ce a�d/or
repairs,including necessary street repairs at a rate set annually by an administraClve policy. It shatl be the responsibil'�ty of the applicarrt,
owner,occuparrt ar user to perform standard maintenance of the sewer service line from the premises to the main includirig debris dearing or
root sutting and to mairrtain the water service curb stop box for o�oerability and at such height as will ensure that�t remains above the flntshed
grade of the land or property. (Ref 638,1156,1191)