Meter Swap �
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Fridley
Request Number: 17630
P�lic worka Ihvisian
Servtce Request
Problem Address: 7528 Van&iren St Requested By: Rosa Atoo
Departmcet: WATER Addre=s: No adc�pss providsd
Problem/L:ae: @TSTALL AMR ME1ER Pho�Nnmber: 763-438-4865
Schcdaled Date: 2018-01-29 Sc�esdoted Tlme: 10:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Cre�ed: 2018-01-2S
ACTTON TAI�N:
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St�us: In Progress Sabmitter Has Beee r
Contacted
Date Completed: 1� ��� l�j Completed by:�
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� City of Fridley C a��� ,-� 3
Water Department "�? �(P�' �
6431 University Avenue NE � �
Fridley,MN 55432 CJ J ���
763-572-3566
i/we hereby authorize the�ty of Fridley and/or its emp{oyees to do wfiat is netessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per�ty code 402.06) I also hold the City of Fridley andrts empioyees harmless for any damages that may o�r while doing this
operation. This to include,but not limited to�alves,piping,wal{s,floors or the wrb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_
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Name: 1"v�� '�� Address / �� � �1A�Y� �11���,l� �r�
Phone Number �� � �"� � Date � � / v /�
�5'�g�ure Witness Signature �
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OLD METER# ���S !�(J�� SIZE & STYLE(Clrcie)
OLD READING � 5/8 HEX
NEW METER# � r� �"1 ,�, �, 1" HEX
NEW READING � 1�" ELIPTICAL or HEX
ERT# � � ��^'� � V V 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEIAIER
ADMINtSTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to co�structing or repair of any water of sewer{ine connecting the existing municipal system and any house or buitding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of thls Code. After such con�ection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inc(dent thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water seroice wrb stop box or the sQwer lead at the property line or a water se'vice lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be liabfe 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 performed by the City,the property owner shaN be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiltty of the appiicant,
owner,ouupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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