Meter Swap � �
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n, C���
Fridley
Request Nnmber. 17475
Pubitc Werk�Divt�io�
Service Raq�st
ProDieu�Address: 7156 Ce�cal Ave Re�►est�d sy: ltusaun
De�rt�ent: WATE�. Addt�ea: No sdde+sas provided
Proble�sne: IN�TAL,L AMIt METE1t P�oie l�er: 611-2'12-0168
Sc�dea 2017-12- �+ 3E�ed'D�s 10:00:0�
22�c �'CS
AC7ION NEEDB.D:
Created by: Wcndy Hiatt D�e Crsated: 2017-12-2I
ACIION TAKEN:
1�S 1 �� 2
______.____. ___��-- ___.....�
St�: In Progress ���er N�Beee r,
Coutacted
Dste Completed: Complsted by:
_ �- 1�1
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.
City of Fridley
��-.�� �( �� ` �`f
Water Department � �.�%�� 3
6431 University Avenue NE � �
Fridley,MN 55432
T63-572-3566
�jwe hereby authortze the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irrterior
piumbing. (Per�ty code 402.06) I also hold the City of Fridley and/its employees harmless for ariy damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� �O�
Name• Address L L=)� �1'"�N� ��
Phone Numbe ' Date L�1'�"��
Signature Witness Signature �,1���
04D METER# ��Ol ���y SIZE & STYLE(Circlel
OLD READING ��O���� 5/8" HEX
NEW METER# ��� 1 � � �� 1" HEX
�� O
NEW READING � 1�" ELIPTICAL or HEX
ERT# 6�� r ` � I 2" ELIPTICAL or HEX
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 wnnection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. 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 City as a
proper and sultable connection.
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 property line or a water service kad has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shafl be tiable for alf repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintenance seroice or repairs be performed by the City,the property owner shail be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the respons(bility of the applicant,
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 finished
grade of the land or property. (Ref 638,1156,3191)