Meter Swap � r
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Fridley
Request Number: 17526
Publ�c Wo�s Dlviaion
Servke Request
Problem Address: 1232 Norton Are Requested By: Neil Lawson
Department: WATER Addre:s: No ad�ress provided
Problem/Isaue: iNSTALL AMR ME'fER Phone Number: 612-418-3892
Scheduled Date: 2018-01-12 Sc�edaled'Rv�e: 10:00:00 '°
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ACIION NEEDED:
Created by: We�y Hiait Date Crested: 2018-01-08
ACIION TAKEN:
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Stntus: �pro�� Snbmitter Hns Been 1
Coutacted ��
Date Completed: Completed by: <
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� City of Fridley .� /� f �/ .7 T✓_� _,��
Water Department ��G
6431 University Avenue NE � ���
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. I understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City code 402.06) 1 also hold the�ty of Fridley andrts employees harmless for any damages that may oaur while abing this
operation, This to include,but not limited To valves�piping,waQs,floors or the curb stop box and service line. In understaod I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) � y� " ��
Name: Address ��33 �
Phone Number Date /�`7'-f��
Signature Witness Signature
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OLD METER# �� �� �� �� SIZE & STYLE(Circle)
OLD READING ��� �L� v / ' �
NEW METER# "� 1 � �,� �� � 1" HEX
NEW READING i'r4" ELIPTICAL or HEX
ERT# IIIII IIIIIIIIIIII IIIII E 2" ELI�I�L or HEX
11 72378346
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAItY SEWER
ADMlNlSTRATION
(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 tine connecting the existing municipal system and any house or buiWi�for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notffied. It shall be unlawful to c.over
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
p�oper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial cannection has been made to the water service curb stop box or the sewer lead at the property line or a water ae�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 properly owner
requests maintenance service or repairs be per�ormed by the�ty,the property owner shall be charged for the costs of the maintenance an
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applica
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris cl ring or
root cutting and to maintain the water service curb stop box for operability,�nd at such heiqht as will ensure that it remains above finished
grade of the land ar property. (Ref 638,1156,1191) � �
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