Meter Swap �
u � C;ry a1'
Fridley
Requ�st Number: 1738S
F�ite Werka Dh►4�oe
5ervice l�que:t
Problem Adireas: 1270 Norton Av� R,eqee�red sy: C�rine
Dep�ment: WA'IFdE A�dress: No ad3�aa pravided
Proble�/1s�us: iNSTALL AMR METER 1�6ose N�Usr: I-218-780-350U
&�edtdad I�1ata: 2017- 2-11 � Sslledlds���s: 14:0�:00
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AC'FK?�i PYEEDED:
Created by: W�+Hi�t D�e Crtated: 201�-12-03
ACIIOAT TAKEN: J �
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Stat�n: In Progress S�bmitier Hu Bee� r
Coetacted
3�.,
�e Completed: �_ 'I_ I`-7 Completsd by: �C��
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, City of Fridley �� ����
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/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 line from the main to the premise and aU i�rterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless 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 seroice line. In understand 1 am also required
to ohtain a permit prior b any work,if necessary.
FINAL METER READING(old meter) � 5 a ���
Name: �""� ` '��l�'� Address ���`� ' N�•v' ` T11" �
Phone Number �'r f'Z� � !������C.l ate ��` ��, � ` �
��
�Signature Witness Signature
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OLD METER# �'""" � � � `v SIZE & STYLE(Circlel
OLD,�tEADING ���� v v 5/8" EX
��
NEW METER# 4 � ! J � 4 � ✓ 1" HEX
NEW READING � 1'/:" ELIPTICAL or HEX
ERT# ��� ! �� �� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(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 municipai system and any house or bu(Iding for which the
appiication is made,the owner or contractor shaN be required to obtain a permit for such connedion,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. k shall be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved bY the Clty 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(ead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupar�t 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. ff 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 poliry. It shall be the responsibility 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)