Meter Swap � /
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Fridley
Request Number: 17681
Public worka Division
5ervice Request
Problem Addresa: 5420 Sth St Requested By: Jeremy P
Depnrrtment: WA'IER Address: No address provided
Problem/Isaue: iNSTAL,L AMR ME1ER Plane Number: 612-810-2405
Sc6eduled te: , 2018-02-OS �� Schednled Tlme: 10:00:00
C� Ct,r��
ACIION NEEDED:AMR
Crexted by: Wendy Hiatt Date Created: Z018-OZ-02 r�' ;��
ACliON TAI�N: � ; $
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Status: In Progress Submitter Has Been r
Contacted
Dxte Completed: �� 5� ,� Completed by: � �
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City of Fridley �
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is oecessary 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 interior
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
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.
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FlNAL METER READlNG(old meter) �3 `�`7 � 8 a
Name: _ lN�.��/ r Address �" I �� � �� `��
Phone Number ��Z —v �V � Z-lQ� Date � � �— ` �
� Signature�� Witness Signature
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OLD METER# �5a8 c��-� SIZE & STYLE(Circie)
OLD READING �� l / r �v 5/8" HEX
NEW METER# i + � ( J � V� 1" HEX
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NEW READING � 1'r4" ELIPTICAL or HEX
ERT# ` P��� � � � V 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 wntractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connedion 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 connedion.
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 connection 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 shail 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 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) �/