Meter Swap Jl
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Fridley
Request Number: 17719
Poblic Works Dlvision
:�°`` Service Request °
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��p'roblem Addresa: 5800 4th St Requested By: John
Depsrtme�: WA1ER Addreas: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-535-5007
Scheduled Date: 2018- -13 edaled 1lme: I 1:00:00
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�. ACiION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2018-02-07
ACTION TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Dxte Completed: Completed by:
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City of Fridley "
Water Department �
6431 University Avenue NE �����(�$�� ''V�
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 all interior
plumbing. �Per City code 402.06) I also hold the C'rty of Fridley andrts employees harmless for any damages that may oau�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 1 am aiso required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) � � W I� � �
Name: _�1 YW 1 Address ���0 � ��.
Phone Number ��� ~� ^ � � Date__ � � � J V � V
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r,/� Signatu s-�--^ Witness Signature
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a 58 �70� � �-
OLD METER# SIZE & STYLE(Circle)
OLD READING 6 ��S/ � _G G � 5J8" HEX
NEW METER# 6 6 1 � � v �� 1" HEX
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NEW READING � 1'/:" ELIPTICAL or HEX
ERT# �ac�� ���a 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
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt 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 apqroved by 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 service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,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 owner
requests maintenance service or repairs be per�ormed by the City,the property ownec�shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appllcant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing 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 finishgd
grade of the land or property. (Ref 638,1156,1191) ��