Meter Swap '� .� �� �a-�`���-lf���v
� '1�� Y INSTALLATION
G.�,� AUTOMATIC METER READER
Add ess� t1�� � � �J 1��,�1",r-
Name �� ►-��,� �A��`� a
Date � �- `F�`���
Old Meter Number {��� r�
OldMeterReading � �
Replacement No. ����� �4
Replacement Reading �
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Repfacement Make
ERT# ��� �V .
Replacement ERT#
Remarks:
�p-?� Signed:
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Request Number: 6145
Public Works Division
Service Request
Problem Address: 600 57th Ave Requested By: Sandi Hara
Department: WATER Address: Pb address provided
Problemlissue: REAQ METER(WATER) Phone Number:
Scheduled Date: 2013-05-31 Scheduled Time:
� �T ,
ACTION NEEDED: Final reading Ciosing 5l31/13 ERT#33303640
Created by: Wendy Hiatt Date Creat+ed: 2013-05-13
ACTION TAKEN: — ��
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
��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 ail interior plumbing. (Per�ty code
402.06) I also hold the City of Fridley and/its err►p{oyees harm{ess for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit priar to any work,if
necessary.
Final meter readin old meterj � � ���"�
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Name• Address• �1 `' �� ���C
Phone Number. Date: �� ����'`
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER,AND SANITARY SEWER.
ADMINISTRATION
. (Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156, 1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the apptication is made,the owner or contractor shalt 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 connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting 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 connection has bee�made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer tead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ali 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 praperty owner shatl be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main inc{uding debris 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 above the finished
grade of the land or property. (Ref 638,1156, 1191)