Meter Swap � ' ��
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" Fridley
Request Number: 17530
Public works Division
Service Request
Problem Address: 148 Liberty St Requested By: Dan Neuman
Department: WATER Address: No address�ovided
Problem/Issue: INSTALL METER Phone Number: 763-780-1420
Scheduled Date: 2018-01-12 Sc6eduled Time: 0830:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2018-01-08
ACTTON TAKEN:
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49355154
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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City of Fridtey � nJ
water�epartment � � " `J/ ��`"j �� �✓I
6431 University Avenue NE
Fridley,MN 55432 �->'� � 9��
763-572-3566
fjwe 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 liable for the water line from the main to the premise and all interior
plumbing. (Pe�City code 402.06) I also hold the City of Fridley andJits employees harmfess for any damages that may occur while 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 �7� l/[`%�
Phone Number Date t ' � � �Q` �
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Signature Witness Signature �
OLD METER# �� 4 !: ` 0 � � SIZE & STYLE(Circle)
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OLD READING 5/8" HEX
NEW METER# � 1��� �S� 1" HEX
NEW READING � 1 �" ELIPTICAL or HEX
ERT# 1 � IIIII IIIIIIIIIIIIIIIII E � 2-' ELIPTICAL or HEX
78512
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,s_��5,566,629,638,662,922,988,1144, 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 connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shal{be unlawful to cover
any conneding line until an inspedion 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 connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service 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 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 City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibiiity 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 638,1156,1191) /'
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