Meter Swap a;. ��,"�..?°}z "� � .
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City of Fridley
W er De art ent
1�s"v a��
Address �� /�/c�y�zr
Name �erti.�✓.►.�, �I:o...r
Date � - � - d 6
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Old Meter Nu er �
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Old Meter Reading �-� �-U
Replacement No. Q ��,�,3�
Replacement Reading �
Replacement Make ��,cl��.-
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Remarks: � j�,/ l�L,,c�'.�-,.,
��� \ Signed
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Request Number: 15448
Public Works Division
Service Request
Problem Address: 1252 Norton Av�e Requested By: Michelle w/Bulls Eye Properties
Department: WATER Addresa: No address�xovided
Problem/Issue: 1NSTALL AMR ME'IER PLone Number: 763-295-6566
Schednled Date: 2017-OS-24 Schedaled 13 w�11:30:00
2 �` i��
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-18
AG7ION TAI�N:
✓-i-i�-���C�l% ����
Statua: Tn Progress Sabmitter Has Been r
Co�acted
D�te Completed: � �a,�„�l�1 Cam�deted by: � ���o
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' City of Fridley �/�
Water Departrnent �fj � ��,�"`r
6431 University Avenue NE ��
Fridley, MN 55432
763-ST2-3566
I/we hereby authorize the City of Fridtey and/or its employees to do what is necessary to
replace the water meter. !understand that the property awner is liabie for the water line from the main to the premise and all interior
piurnbing. (Per City code 402.a6) 1 also hold the City af Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inc{ude,but not limited to valves,piping,watis,fioors or the curb stop box and service line. In understand t am also required
to abtain a permlt prior to any work,if necessary.
FiNAi.METER READHYG(ofd meter) ` 1 g � ���
Name•_���/V�� V�e Address-- y��� �� �.
Phone Number ` �-�v �'��"' w"J��1 p� ''J "'" a U " ��
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Signature Witness5ignature_, � 1 ,
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OLD METER#
OLD READING � 6 �� l �� f �� ��
NEW METER# ��I���K����� �- I�iri �ll�� V __
NEW READ{NG v
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FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AN�SANITARY SEWEt�
ADMINISTRATION
(Ref Ord No 113,4b4,S65,566,629,638,662,922,988,1144,�,i7�1)
402.5 PERMiT FEE
Prior to constructing o�repair of any water of sewer line connecting tF►e existing municipal system and any house ar building for which the
appiication is made,the owner or vontractor shall be required to obtain a permit for such connectiarff,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 shail be natified, ft shaii be uniawful to cover
any connecting line untii an inspection has been made and such connection and the work inadent thereto has been approved b�r the City as a
proper and suitable connection.
402.06 REPAIRS APIQ MAINTENANCE TO CONNECT104Y
After the initiat connection has been made to tfie water service curb stop box or the sewer lead at the property tine or a water service lead has
been eactended to the property line for connection,the applicant,owner,or occuparrt or user of such premises sfial{be liabie for ail repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premtses. tF the property owner
�equests maintenance service or repairs be performed by the City,the property owner shall be charged for tfie costs af the mairKenance andJor
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shait be the responsibility af the applicarrt,
owner,occupant ur user to perform sCandard maintenance of the sewer service line from the premises to the main indue3ing deMis dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remaies above thefinished
grade of the land or property. (Ref 638,1156,1191)
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