Meter Swap � �
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Request Number: 17565
P�c Works Dlv�ton
Serv�e Request
Problem Addreas: 5588 W Danube Rd Requested By: Rich9rd WilleHa
Department: WA'IER t�ddress: No ad�ass providsd
Problem/Iasne: INSTALL AMR ME1ER Phone Number: 763-205-3888
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Scheduled Date: 2018-02-02 Scheduled 11me: 02:00:0(!
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ACIION NEEDED:
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Cres�tted by: Wendy Hiatt Date Created: 2018-01-11 �`
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ACIION TAI�N: C � �,�
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Status: In Pro�ess Snbmitter HAa Been r
Cont�cted
llnte Completed: � � Cumpleted by: �` �
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` City of Fridley �� � �
Water Department
6431 UniversityAvenue NE �L'� � � Z�
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable tor the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may ocwr 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.
FINAL METER READING(old meter) " � !" � ���
Name: ���//'��W � �i�'C/Y� Address ��`� � W � �L�VI�C-1�C �
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Phone �� � a� ���� Date � ` Y CJ
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�Sig��e � Witness Signature
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OLD METER# � `d � � � �/� SIZE & STYLE(Circle)
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OlD READtNG � � � � b�' S/8 EX .
NEW METER# Y �� � � � �� 1" HEX �
NEW READING � i'r4" ELIPTICAL or HEX
ERT# � � � a � a � 5 2" ELIPTICAL or HEX - �`^�'
FRIDLEY CITY CODE -
CHAPTER 402.WATER,STORM WATER AND SANITARY 5EWER
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 contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
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 senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the qremises. 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,including necessary street repairs at a rate set annually by an administrative poliry. It shalt 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 cle �g or
root cutting and to maintain the water service wrb stop box for operability and at such fieight as will ensure that it remains above t finished
grade of the land or property. (Ref 638,1156,1191)
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