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Fridley
Request Number: 18013
Public Worka Division
Service Re�est
PraMe�n Ad�ess: 6417 Hwy 65 Aequested By: Nichola�Elmqtiist
Depsrtwe�t: WA'IER Address: No addresa provicied
Problero/Isa��u: INSTALL AMR ME1ER Pho�Nnmber: 612-296-0045
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'Sc�eduledDate: 2Q18-04-03 Schcd�led'Ilme: 08:30:00
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AC'TION NEEDED:AMR i"Turn offwater so plumber can ct�ge valve.Install AMR.
Crented by: Werdy Hiatt I�te Created: 2018-03-29
ACTION TAi�N:
Stntus: 1n Progress Snbmitter Has Beea r
Co��ted
Date Completed: Completed by:
� /1�,"�:� 2°'� �I�,�Z
�o�� �t
� • City of Fridley
Water Departrr�ent
6431 University Avenue NE �� �'a_��� ��L�.,��
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace 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 City code 402.06) I also hold the City af Fridley and/its employees harmless for any damages that may xcur while doing this
operation. This to include,but not limited to valves,piping,walls,ffoors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj
Name• Address G�1� 7 �Y �S
Phone Number Date � �`�`� ���
Signature Wiiness Signature ,�.-:
OLD METER# _ _ �4 0 J� Jy � SIZE & STYLE(Circle)
OLD READING `1�7� �,�5'� 5/8" HEX
NEW METER# ��y l�l/O�� 1�� HE
�� �
NEW READING � i i4" ELiPTICAI or HEX
ERT# }Z� � / 7 S�� 2" ELIPTICAL or HEX
FRtDLEY 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 rnnnecting the existing municipal system and any house or buitding for which the
application(s made,the owner or wntractor shali be required to obtain a permit for such con�ection,and shall pay a permit fee as provided i�
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shalt be notlfled. 1t shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incideM therfto hu b�en spproved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO COIVNECTION U�'L(uA ��. ��a�
After the initiai connection has been made to the water senrice curb stop box or tf �� ,� �.� , c��� �} •1:�� � r service iead has
6een extended to the property line for connection,the appticant,owner,or occupa , , �y , �.$�,� ~ qr all repairs
required to any water line and sewer lines necessary for connection of the premise. 4 g `-'> � ' ' ` t . �erty owner
requests maintenance service or repairs be performed by the City,the property owi �y� �t � '-� `� � .Jr�tenance and/or
repairs,inciuding necessary street repairs at a rate set ennually by an administrative . _ ..�onsibil(ty of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line trom 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)