Meter Swap 1�
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Fridley
Request Number: 17634
Pub�c worka I�ion
Servke Reqneat
Probtem A�dreas: 7331 Baker St Requested Hy: Tracy
Departmeut: WATER Addres:: No address pqv�dad,
Problem/Issne: INSTAL.L AMR METER Pla�Nnmber: 763-780-3939 �
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Sc�edatled Dat . 2018-01-26 Sc6edaled Tlme: 10:00:00
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A�"IION NEEDED:
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Created by: We�y Hiatt Dxte Created: 2018-01-23
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ACIION TAI�N:
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Stxtus: In Progress Sabmitter Has Been r
Contuted
Date Completed: l a� �� Completed by: �
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� City of Fridley
Water Department � /'��/.t(���}l.f
6431 University Avenue NE � (� �`� �
Fridley,MN 55432 (`�
763-572-3566 S v �
I/we hereby authorize the City of Fridley and/or its employees to do what is necesaary 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 ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand I am also required
to obtain a permit prior to a�ry work,if oecessary.
FINAL METER READING(old meter) � C.+� V � i � v
Name• �i �A�J�/ Address �� � ��� /�.F�C.� J�
Phone Number ��.0�' ��V`� `;9��Date � � � �` � �
�/Signature �tness Signature —`
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OLD METER# r� 2 2 _, SIZE & STYLE[Circle)
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OLD READING � � U � � �C� 5/8" HEX
NEW METER# F ��� !� ��v 1" EX
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NEW READING `� - i'r4" ELIPTICAL or HEX
ERT# �7 a c�3 �� � � 2" ELIPTICAL or HEX
FRIDLEY CI�'Y 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 wnnecting the existir►g municipal system and any fiouse or buNdir�g for which tfie
application is made,the owner or contracto�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 DepartmeM shall be notifPed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'dy as a
proper and suitabfe connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall 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 the C'ity,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annuafly by an administrative policy. It shall be the�esponsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is dearing 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 finished
grade of the land or property. (Ref 638,1156,1191)