Meter Swap C(
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Fridley
Requc�st Number: 17350
P�bl[c Works Div�ion
Servke Rcquest
Problem Addre:s: 8101 Fairnwirt Circle Requested By: Jsmice for Rubert Fritz
Departmeet: WATER Address: No nddraes provided
Problem/I�s�u: Il�ISTALL AMR METER Phone Numbor: 612-991-6688
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Scheduled Date: 2017-12-0 . Schaduled 1lme: 1�:00:00
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ACIION NEEDED:
Crexted by: We�y Hiatt Date Cre�ed: 2017-11-30
ACTION TAI�N: �
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Stxtus: In Progress Snbmitter H�Been r
Contacted
Date Completed: Completed by
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City of Fridley � �,aa
Water Department �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is neassary 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 irKerior
plumbing. (Per City wde 402.06) I also hold the C�ty of Fridley and/its employees harmless for arry damages that may oaur whtle doing this
operation. 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) � � � � / �
Name: "'�� Address ��� � �i�/ yti��/ W ����' v''�
Phone Number Wr"r��!'~l�ei�V� Date U� ���l���
�i ature ( Witness Signature
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OLD METER# �'�"�� ���-�� SIZE & STYLE(Cirdel
OLD READlNG d � J � �l./ � /!� AE
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NEW METER# �� �/� � � � I 1" HEX
NEW READING v 13�4" ELIPTICAL or HEX
ERT# G �� / �� �V 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 ar�y house or iwilding for whtch the
appiication is made,the owner or contrador shell 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 cover
any connecting line until an inspection has been made and such wnnection 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 connection has been made to the water service curb stop box or the sewer lead at the property line or a water servtce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be Itsble for all rcpairs
required to any water line and sewer lines necessary for connect7on of the premFses from the main to the premises. 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 maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an admtnistrative poliry. It shaN be the resportsibility of the appiitant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)