Meter Swap � + ci
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Fridley
Request Number: 17364
Public Works D�ion
Service Request
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Problee�Address: 1321 Fireside Dr Requcatsd Hy: Lisa
Deiwrtmeet: WATER Address: No address provided
Problem/I�aue: INSTALL AMR ME1ER P6one Nnmber: 651-335-0426
Scheduisd Date: 2017- 8 Sc6�daled'Iime: 02:00:00
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AC110N NEEDED:
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Created by: Wendy Hiatt Date Created: 2017-12-04
ACIION TAKEPiT: R�.,
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Status: In Progress Sabmitter Has Been r ,
Contxcted
Date Com eted: Com eted �
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City of Fridley
Water Department
6431 University Avenue NE �!�(0-�(j�3�`v �
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water Ilne from the main to the premise and afl irrterior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/'ns employees harmless for any damages that may oaur while doing this
operation. Tfiis to include,bu�not lim.�ed to valves,ptping,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 READlNG{old meter) v �`
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Name: Address ��� ��c' l-��c � ��r
Phone(�i+ntbe '���y��� � ���Date �� � � �'�
�Sig��re -- WitnessSignature `
OLD METER# ��l[) �� � � SIZE & STYLE(Circle)
OLD READING � ��, �i.�l V /8" iE'�
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NEW METER# � I �� � � �� 1" HEX
NEW READING �✓ 1�4" ELIPTICAL or HEX
ERT# � � v� � � t v 2" E4IPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,9�88,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer Iine connecting the existing municipal system and any house or building for which the
application is made,the owner or contrector shall be requtred to obtain a permit for such connedion,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notiffed. ft shall be unlawful to cover
any connecting line until an inspedion has been rnade and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connedion.
402.06 REPAIRS AND MAlNTENANCE TO CONNELTfON
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 occuqant or user of such premises shall be liabk for alf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premisEs. ff the property ovnner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administrative poliry. It shait be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to tfie main incfuding debris clearing or
root cutting and to maintain the water service curb stop box for operabif'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,3156,1191j