Meter Swap � �
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Fridley
Request Number: 17830
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_ P�blic Works I�vision
Service Request
Problem Addreas: 5842 4th 5t Requested By: Chris
DepArtment: WATER Address: No addeesa provided
Problem/Issue: INSTALL AMR METER Phone Number: S71-186l
Schedule e: 2018-03-07 � Sc�edaled 1lme: 11:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Dnte Created: 2018-03-02
ACIION TAI�:N:
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Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
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' City of Fridley
Water Department , �"1 � � ��[��- �2
6431 University Avenue NE � �
Fridley,MN 55432 �� �.;�.-� -�j
763-572-3566
�/We hereby authorize the C'rty of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the properry owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� � ��
Name: l.i�r I 5 Address �V�� / rr 1 ��'
Phone Number � / �� ` V�+�' 1 Date ,/` ` r r v
�Si6n�tu�e Witness Signature
OLD METER# � ✓ � SIZE & STYLE iCircie)
OtD READING ��� J��/� 8" HEX
NEW METER# �� F �/ 6 /(LJV 1" NEX
NEW READING � I�4" EIIPTICAL or HEX
ERT# �L (J�'` � ` �� 2" ELIPTICAL or HEX
FRIDLEY Cl�lf CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructi�g or repair of any water of sewer line wnnecting the existing municipal system and any house or bullding for which the
application is made,the owner or contractor shall 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 connedion has been made,the Water and Sewer Department shal!be notifted. 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 C'rty 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(ead at the property line or a water service iead has
been extended to the property line for connectioR,the applicant,owner,or occupant or user of such premises shail 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 property owner shall be charged for the costs of the mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. 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 including 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)