Untitled � l
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Fridley
Request Number. 17835
Pub�ic works Dlvlsion
= _,, Servtce Recryest
tro�em Address: 6501 East River Rd Requested By: City Collision dt Glass
Depnrtmeat: WA1ER Address: No address provided
Problemlissue: INSTALL AMR ME1ER Phaue Numbcr:
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Sc�duled Date: 2018-U3-06 � Sc6ednled'Ilme: 09:00:00 -
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AC7ION NEEDED:AMR
G�exted by: Wendy Hiatt Date Crested: 2018-03-02 `
A(.'ZION TAI�N: .,
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Status: In Pragress Sabmitter Hns Been r
Contacted
Date Completed: Completed by: �
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` City of Fridley
� Water Department /���C���rsd�-�
6431 University Avenue NE � d�1
Fridley,MN 55432
763-572-3566
IJwe 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 ail interior
piumbing. (Per City code 402.06J 1 also hold the Ctty of Pridley and�ts empioyees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) "� ���� ��
` t o � � l �.c�.S�- [z�t-u�e�- I�.
Name: ri�_ C6 4�{��dh ,'� 9�6i5 S Address
Phone Number �� Oate_ �"' � � ��
�Signature Witness Signature ��--
�/^�"f•l� a �'�
OLD METER# ��`� � �� SIZE & STYLE(Circte)
OLD READING ���`f'' � v ` 5/8' HEX
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NEW METER# _ 4 v /O � / � ( 1" HEX
NEW READING � - I�" ELIPTICAL or HEX
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ERT# 2" ELIPTICAL or HEX
FRIDLEY CI'�Y CODE
CHAPTER�02.WATER,STORM WATER AND SANITARY SEWER
ADMfNIS'�RATIC)N
(Ref Ord No 113,464,565,5fi6,5Z9,6 ,�2,922,988,1144,1156,1191}
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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
appiication is made,the owner o�corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal!be r+ot�ed. tt sha{I be unlawful to cover
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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOPI
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 serotce lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for atl repairs
required to any water line and sewer lines necessary for cun�ection of the premises from the main to the premises. ff the property owner
requests mainte�ance 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 policy. 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)