Meter Swap � 1
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Fridley
Request Number: 17672
Public Worka Dlvision .;�:
Servlce Request
Problem Ad�-esa: 6459 5th St Requested By: Tom Rosenb�aun�llage Green
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Depnrtment: WA'IER Addreas: No address provided
Problem/Is:ue: 1NSTALL AMR METER Phone Number: 612-666-3252
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Scheduled Dnte• 2018-02-07 Scheduled Time: 09:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Dxte Created: 2018-02-02
ACIION TAI�N:
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Stxtus: In Progess Snbroitter Has Been r
Contacted
DateCompleted: �,n Completedby: t
2 v ? � �� ��.�
t���72-o r6 I
' City of Fridley �D� �
Water Department �� �j 1��
6431 University Avenue NE
Frid{ey,MAI 55432
763-572-3566
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) 1 also hoid the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if�ecessary.
FINAL METER READING(old meter) •� �j � V v
Name: ��W� Address ��� / � � ���
Phone Number ��Z'��D���' 34��� Date � `r �" t v
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Signature Witness Signature
OLD METER# � l � �tp V��O SIZE & STYLE ICircle)
OLD READING �� 1 � �D 8 HE
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NEW METER# �� L D�� �� 1" HEX
NEW READING v 1'r4" ELIPTICAL or HEX �
ERT# � �� � � j /� 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
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 connecting line until an inspection has been made and such connection and the work incldent 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 extended to the property line for connedion,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 connedion of the premises from the main to the premises. ff the property owner
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 policy. It shali 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)