Meter Swap ;'�
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Fridley �".,
Request Number: 17612
Pt�tl[c Worka Division
�ervlce Request
Problem A�resa: 5455 4th St Requested Hy: Kevin
DepartmeM: WATER Addreaa: No adtfr�ss provided
ProMemllss�e: INSTAL.L AMR ME'IER Pho�Nnmber: 651-403-2015
Schednled Date: 2018-01- 3 Schednled Time: 10:00:Q0
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ACIION NEEDED:
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GYeated by: Wendy Hiatt Date Created: 2018-01-22 `
ACIION TAI�N: L
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Statua: In Progress Snbmitter Has Been r
Contacted
Date Completed: � 2 3 �, r{,2 Completed by: C a�
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� City of Fridley
Water Department
6431 University Avenue NE �i � ���� ��- � L�
Fridley, MN 55432 �v �
763-572-3566 , J���,���
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I/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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridiey 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) � � �Y ✓ � 4 �
Name: 11-n�V�� Address �- ! �� � � �
Phone Number �S�" 7+�3 — `�"✓ Date �� � � ` "
�Signature Witness Signature
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OLD METER# ���✓�D I �� SIZE & STYLE(Circiel
OLD READING � � v/� � /� 5/8" EX
NEW METER# �� 4���1U� 1" HEX �
NEW READING v 1'r4" ELtPTICAL or HEX
ERT# 4 ��� �� � ! 2" ELIPTICAL or HEX
FRIDLEY CIT1l CODE
CHAPTER 402.WAYER,STaRM 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 contractor shall be required to obtain a permit for such connection,a�d 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 until an inspedion 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 been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been eutended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ow�er
requests maintenance service or repairs be performed by the 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 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 mein inciuding 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)
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� Fridley
Request Number: 18070
' Pu�c Works'Division
� Service Request
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' Problem Addresa: 5455'4th St Requested By: Sandi
Department; WATER Addre:s: No address}�ovided
Problem/Lssue: ItEAD ME'IER Phone Number:
Scheduled Date: Schedaled 17me:
' AC1iON NEIDED:Meter reading.See Sandi's emaiL ERT#71'821I99
Cre�ted by: WendyHiatt Date Cres�teds 2018-04-12
ACTiON TAI�N:
Reading. 175277
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` Status: Completed Submitter Ha�Beeo 1...
i Contncted
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� Dste Completedc' 2018=04-13 Compteted by: Peter Gunderson
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