Meter Swap ( �
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� Fridley
Request Number: 17670
PubNc Wori�a Division
Servtce Re�est
Problem Addreas: 6371 Sth St Requested By: Tom Rosenbaa�un�llage Green
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Department: WATER Addresa: No address provid�ed
Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 612-666-3252
Schednled Date: 2018-02-07 -� Schednled TYme: 08:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Dxte Created: 2018-02-02
ACTION TAI�N: � '`
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Status: 1n Progress Submitter Hns Been r
Contacted
Date Completed: �^,7 �� Completed by: �, ;,
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City of Fridley
Water Department �,>�i '� �1 \�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby author4ze the City of Fr'�dley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operetion. 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,lf necessary.
FINAL METER READING old meter � ! v � � � �
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Name: �d�ti Address lU J� ( � � ��
Phone Number ll��'� "`���4— 3� 5°� Date Z — / � ��
�Signature Witness Signature ~1
OLD METER# ���� � � � SIZE & STYLE(Circlel
OLD READING ` I v" `�' �O /8' ��5o'r
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NEW METER# L��v � I V� 1" HEX
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NEW READING v i'r4" ELlPTICAL or HEX
ERT# � ����� ` � 2" ELIPTICAL or HEX
FRIDLEY CITI(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
apptication is made,the owner or contractor sfiall be required to obtain a permit for such connedion,and shall pay a per'riit fee as provided in
Chapter 31 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 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 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 connedion 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 maintenance and/or
repairs,intluding 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 clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)