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Fridley
a Request Number: 18007
PubHc works I�v�ion
Service Request
Problem Addresa: 4939 3rd St Reqnested Hy: Nick Elmquist
Department: WA1ER Addresa: No address providad
Problem/tsaue: INSTALL AMR METER P6one Nnmber: 612-296-0045
Scheduled Datc: 2018-03-30 Scheduled 11me: 11:00:00
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AC110N NEEDED:AMR 1"
Crexted by: Wcidy Hiatt D�te Created: 2018-03-28
ACTION TAi�N:
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Status: In Progress Snbmitter Has Been r
Contncted
Date Completed: Completed by:
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Cit�/of Fridley
Water Department
6431 University Avenue NE � ����f 1��� ( I
Fridley,MN 55432 Q �— Y'��'
763-572-3566 ��� (� -����
�/We hereby authorize the City of Fridley and/or its ernployees to do what is necessary to
repiace the water meter. (understand that the property owner is tiab(e for the water line from the main to the premise and alt irtterior
plumbing. (Per City code 402.06) 1 also hoid the Crty af Fridley and/its employees harmless for any damages that may ocxur while doing this
operation. 7his to include,but not limited to valves,piping,walls,floors or the curb stop box and service Iine. In understand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(old meter)
Name• Address "l !�/ 3'" ��
Phone Number D� n��,.�,�• '��, 'Z4/'S5
Signature Witness Signature�
OlD METER# �')�y � � � � SIZE & STYLE(Circle)
OLD READING ��� 7��� 5/8" HEX
NEW METER# 7�� 1�7 IIC� 1�% �
NEW READING � 2�4" ELIPTICAL or HEX
ERT# 7a � y � ��� 2" ELIPTICAL or HEX
FRIDLEY C!'iY 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 arry house or buikfing for wt�ich the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as pr�ided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Departmer�t shaU 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 City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senri�lead has
been extended to the property line for connectioR,the appiicant,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 owrter
requests maintenance service or repairs be performed by fihe 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 shall be the responsibility of the applicant,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main in ing 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 mai�above the finished
grade of the land or property. (Ref 638,1156,1191)