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Request Number: 17713
Pablic Works Dlv�ion
Servlce Recp�e:t
Pro�etn Address: 5430 Sth St Requested By: Duane
Department: WATER Addreas: No address provided
ProblemlIsaue: INSTALL AMR METER Phone Number: 5430 Sth St
SchedWed Date: 2018-02-13 Sc�ednied Time: 10:30:00
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AC7ION NEEDED:AMR
Created by: We�y Hiatt Date Created: 2018-OZ-07
ACIION TAi��_
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Status: In Progress Sabmitter H�Been r
Contacted
Dste Completed: Completed by:
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City of Erid{ey
Water Department ��sp�����
6431 University Avenue NE �
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. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per Cityl code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING old meter � �� � �
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Name: 4d'�.t.G�M�`e Address J - L c l d � � ��'- -. .., .
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Phone Number , Date � ���,,,��,,� `'
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�5ignature C�L + witness Signature
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OL� METER� _ SIZE & STYLE(Circie)
OLD READING � � �� � � ��' �
C _� � �-.�'ti"x
NEW METER# V���� I ��*��.�> 1" HEX
NEW READING � 134" ELIPTiCAI or HEX
ERT# 4 b g � v 5 / V 2" ELIPTICAL or HEX
FRIDLEY CI'CY CODE
CHAP7ER 402.WATER,STORM WATER AP1D 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 whtch the
application is made,the owner or contractor shalt be required to obtain a permit for such connection,and shafl pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be nat�ed. It shall be unlawful to wver
any connecting 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 initiai 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 connection 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 mai�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line f�om 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 finis ed
grade of the land or property. (Ref 638,1156,1191j