Meter Swap � �
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�ridley
Request Number: 17831
Pub�c Works Diviaion
Service RecYueat
Problem Address: 5850 4th 5t Aequested By: Co�y
Department: WATER Addresa: No address provided
Problero/Issue: INSTALL AMR ME'IER P6one Nnmber: 763-355-8647
Scbedulle�.Date: 2018-03-09 Sc6ednled Tlme: 10:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Created: �' 2018-03-02
ACIION TAI�N:
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Status: In Progress Submitter Hns Been r
Cont�ted
Date Completed: Completed by:
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, City of Fridley � ! �g
' Water Department �(� �' ��
6431 University Avenue NE C� .�} � Z�� '�
Fridley,MN 55432
763-572-3566
�/+we hereby authorize the Gty of Fridiey andJor 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
piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing#his
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� � � ���
Name• Address �V c/� � s�.
Phone Number_ r �/�"�� �' ! Date �� � � ` �
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�SignG�e �tness Signature
OLD METER# I �� / V��� SIZE & STYLE(Circlel
OLD READING � . ! / � � ( � 5%8' EX '�«
NEW METER# �I � � ) 3 7 1" HEX
NEW READING � 1'r4" ELIPT{CAL or HEX
ERT# �� �� Z.J� l� 2" ELIPTICAL or HEX
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 municipal system and any house or building for which the
application is made,the owner or contractor sfiail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such co�nection 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 incident thereto has been approved by the Crty 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 lead at the property line 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 aii repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly 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 policy. It shail be the responsibility of the appli nt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb ' 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 ab e the finished
grade of the iand or property. (Ref 638,1156,1191)
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