Meter Swap ,
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Fridley
Request Number: 17673
PubHc works Div�ion
5ervice Request
Problem Addreas: 6489 Sth St Requested By: Tom Rosenbau�m wNillage Green
Ap�s
Deps�rtment: WA1LR Address: No address provided
Problem/Iasue: INSTALL AMR ME1ER Phone Number: 612-666-3252
Scheduled, ate: 2018-02-07 ,� ��hednledljme: 10:00:00
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AC'IION NEEDED:AMR �
Crexted by: Wend}+Hiatt Date Crexted: 2018-02-02 '
ACI'ION TAI�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: �^ � � �� Completed by:
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City of Fridley
Water Department � � / / � •�
6431 University Avenue NE ��
Fridtey,MN 55432
763-572-3566
1/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 iiable for the water line from the main to the premise and all iMe�ior
plumbing. (Per City ccde 402.06) I also hold the City af Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to vaives,piping,walls,floors or the curb stap box and service fine. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ✓t./ ��/�
Name• ��� Address �� v ` � � ��'
Phone Number ��Z`� Vr�����'?� Date 2'� ` ��V
Signature Witness Signature `r�
OLD METER# ��� -1 l(J l/- / t SIZE & STYLE(Circle)
OLD READING �� �/ � / v /8" HEX
NEW METER# �v 6� �� � � 1" HEX
NEW READING � 1 i4" ELIPTICAL or HEX
ERT# � � v � �V � ll� 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�epair of any water of sewer line connecting the existing municipal system and any house or building 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 connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding 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 suitabie connection.
4U2.06 REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for cannection,the applicarit,owner,or occupant or user of such premises shall be liabie 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 perFo�med by the City,the property owner shall be charged for the costs af the mairitenance and/or
repairs,including necessary st�eet repairs at a rate set annually by an administrative policy. It shall be the responsibi4ity of tfie 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 abave the finished�
grade of the land or property. (Ref 638,1156,1191)
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