Meter Swap ,
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Fridley
Request Number: 17590
Pub�ic Works Div�ion
Stivice Reqaest
Pro�lem A�ras: 7673 E�t River Rd Requeated By: Je.�n Morrisett�
Dep�tme�: WATER Address: No�ddress providcd
Pro�em/Issue: INSTALL AMR ME'IER Pboee Number: 631-335-4661
ScLedt�itd�c:� 2018-01-19 Sclkdrled 1lme: 1 l:00:00
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Cre�ed by: Wendy Hiatt Date Created: 2018-01-17
ACIION TAK�'N• �
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Stntus: £ In Progress ���er H�s Beee �,
Contaeted
Date Compieted: �� /� /� Coa�pleted by: (�
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City of Fridiey �
Water Department � �--��� �
6431 University Avenue NE .
Fridiey,MN 55432 ^� ����
763-572-3566 �
I/we hereby authorize the C'ity of Fridley and/or its employees to do what is nec.essary to
replace the water meter. I understand ihat the properly owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages tfiat may�r whife doing this
operation. This to include,but not limned to valves,piping,walis,ftoors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) � I � � ��V
Name: J�.°G1/'\� �.Q/�r f'�e�° Address ��(J J � �Gl.�y�" �� �
Phone Number Vi J` � ���� /IIiV�r Date � ! [ L 'r ��
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�Signatu Witness Signature
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OLD METER# V � V� V / �� SIZE & STYLE fCirclel
OLD READING _ _� � 1 V� i v " ��'F�E (�
NEW METER# `� i�b� + �2' 1" � HEX
NEW READING � 1�4" ELIPTiCAI or HEX
ERT# /� E ��� � �� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,6�2,922,988,1144,1156,1191)
402.5 PERMfT FEE
Prior to constructing or repair of any water of sewer line conneding the existing municipal system and arry fiouse or bu0ding for which the
application is made,the owner or contractor 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 Department shall be notified. It shall be unlawful to wver�
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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice 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 fine and sewer lines necessary for connection of the premises from the main to the premtses. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicaM,
owner,ouupant or user to perform standard maintenance of the sewer service line from the p�emises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)