Meter Swap . '�
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Fridley
Request Number: 17454
Pub�c Worka Division
Service Reque:t
ProMem Address: �590 V�&aen St Reqneate�By: Ma�asen
Depart�e�t: WATER Addresa: No adiineas providad
Problcmlls�a: INSTALL AMR MF'IER Phoae Number: 651-786-0213
Se�ed�ded Date: ZOl?-12-20 SEhedaled 1lme: 10:00:00
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AG'IION NEEDED:
Created by: Wendy Histt Date Cre�ted: 201?-12-18
ACIION TAI�N:
I�S��.� �,�
Statns: In Progress ���er Hs�s Been r
Cont�cted
Date Completed: Com�eted by:
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City of Fridley
Water Department
6431 University Avenue NE �a���G77�j
Fridley,MN 55432 � ��'
763-572-3566 <X/-N' Lj�� l�
I/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 all interior
plumbing. {Per City code 402.06) I a{so hold the C'�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not timited to valves,piping,walls,floors or the wrb stop box and service line. le understand 1 am alw required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) �
Name• Address [ ��� v�� 9�-��
Phone Numb te_�'���
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Signature Witness Signature�
OLD METER# ���7l ���� SIZE & STYLE(Circle)
OlD REAQING cJ����� J����j HEX
�.r�
NEW METER# y�3 5 5� �`� 1" HEX �
NEW READING � i�4" ELIPTICAL or HEX
ERT# ��� I V- L t � 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(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 IPne connecting the existing municipal system and arry house or buiWing for which the
apptication is made,the owner or contrador shall be required to obtain a permit for such�nnection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any conneding line untii 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 wnnectio�has been made to the water service curb stop box or the sewer lead at the property tine 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 sha�l be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clea�ing or
root cutting and to maintain the water service curb stop box for operability and at such fieight as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j
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