Meter Swap , �
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Request Number. 17723
Pe�c Worlu Dtvb�n
Serviu Re�est
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Prebiem Ade�re�:: �883 Firvwud Way Requested By: Nelia
Deparhue�: WA1EIt Adtatss: No addreas provid�d
ProblemlSssnc: INSTALL AMR INETER Pho�N�ber: 612-964-083�
SeLC�ded U�e: 2018-02-21 �, Se�e�led 11aie: O1:OQ:00
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A�CIION NEEDED:��MR
Cre�ed by: Wendy Hiatt Date Created: 2018-02-08 ;*��,.
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AC'IION TAKEN:
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5tatns: in Progress ���er Aaa Been r, �
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Date Completed: Completed by:
Hours
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City of Fridley
Water Department 5���-C�a--'
6431 University Avenue NE ���—
Fridley,MN 55432
763-572-3566
�/M+e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is tiable 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 ocwr while doirig this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary. —
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FINAL METER READING(old meter) c_ J�� \ ���
Name: Address � � U � 4 — �'��J
Phone Number _ Date —� 1�� Y
Signature - ess Signature ti -�_,
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OLD METER# � � SIZE & STYLE(Circle) ,
OLD READING ��� ` V�� 5/8" EX
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NEW METER# ���� V�/� ` 1" HEX
NEW READING 7�-' 1'r4" ELIPTICAL or HEX
ERT# � L �C�,Q��� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE /
Prior Co constracting or repair aF arry water of sewer line wnnecting the existing municipal system and any house or buildin;g for whkh the
application is made,the owner or contractor shal!be required to obtain a permit for sucfi wnnection,and shail 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 shati be unlavuful 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water servtce curb stop box or the sewer lead at the property Itoe or a water servic�lead has
been extended to the property line for connedion,the applicar�t,owner,or occuparrt 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�ty,the property owner shall be charged for the costs of the mai�rtenance and/or
repairs,including necessary street repairs at a rate seC annually by an administrative poficy. It shaif be the responsibility of the appiicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line f�om the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains abov finished
grade of the land or property. (Ref 638,1156,1191)