Meter Swap s
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C,ry Df
FTlt�l�y
Request Number: 17747
Pu�Hc Works l�vision
Seivice Request
Problem Addreas: 140 62nd Way Requeated By: Barbnra Steele
Dep�rtment: WA1ER Address: No address provided
Probtem/Issne: INSTALL AMR METER P6one Nwnber: 763-502-�
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Scheduled Date: � — f Q—�� Scheduled 13me: 01:00:00
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AC'IION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2018-02-13
ACTION TAI�N:
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Status: In Progress Snbmitter Hns Been �
Cont�cted
D�te Completed: Completed by:
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City of Fridley � ��.�(��� (�v-v�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
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�/We hereby authorize the City of Fridley andjor its e what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the���'� nd ali ir�tertor
plumbing. (Pe�City code 402.06) t also hoid the C'ity of Fridtey and/iu employees harmless fcar.,����`�r,fr.�` r while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb st�� . r �.��"` 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(oid meter) � �� � �� �� �. ' '
1.� ��� y��
Namc: �''� �'� C Address � `O ��� ��.,
Phone Number ��(��� J`�� �C3�g� �`��-t � �� �� � _ ' '
Date
Signature Witness Signatur
OLD METER# � �� � j � L�� 5lZE & STYLE(Circfel
OLD READING � 3 �� `
�3 I - - 5, . ��_
NEW METER# � 1" HEX
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11111
4g355084
NEW READING� 1�4" ELIPTICAL or HEX
ERT#_ IIII111II IIIII IIIIIIII E 2-- ELI�I�L or HEX
'I 'I 72378964 fRIDLEY CITY CODE
CHAP7ER 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 arry water of sewer line connecting the existing municipal system and any house or butlding for which the
application is made,the owner or contractor shail be requi�ed to obtain a permit far such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,tfie Water and Sewer Department shall be not�ed. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident theceta has b�e�ap�ur,re�b�the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead,at!�.�;�:~�.��r;�y�+ne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of�,.;����sr�rni�es=t�ai!be Iiabie f•: >�k1 repairs
required to any water line and sewer lines necessary for connection of the premises from the maia ta me premises. tf the property owner
requests maintenance service or repairs be performed 6y the City,the property owner shali be charged for the costs of the maintenance andJor
repairs,intluding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occ pant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutt' g and to maintain the water service curb stop box for operability and at such height as will ensu�e tfiat it remains above the finished
grade o the land or property. {Ref 638,1156,1191)