Meter Swap ,. �,��.
c;,y ol'
:� Fridley,
Request Number: 17693
Pub�ic works Dh�ion
Service Request
Problem Address: 5530 W Bavarian Pass Requested By: Marquis
Department: WA1ER Addreas: No ad�ress provided
Probiem/Issue: INSTALL AMR ME1ER P6one Number: 763-237-6604
Scheduled Date: 2018-02-08 Scheduled Tlme: 08:00:00
_Th �.` �''
AC7TON NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2018-02-OS
AC"IION TAI�N: � / �
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Status: 1n Progress Sabmitter Has Been r .
Contacted
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Date Completed: 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 necessary 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 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) a v a � c�5 0
Name• �G�✓A In,!S �►ddress J� '�J v til�`• �G�VC/�1/'t'u.t�� ''RG-S$'
Phone Num `� -J^ �J / ��'""� Date 2 � `� � ��
➢(,Sig� Witness Signature
OLD METER# ���� �� �� SIZE & STYLE(Circle)
OLD READING �n a �� 5 � � EX
NEW METER# '� � C� � 3 g5 1" HEX
NEW READING � 1�4" ELIPTICAL or HEX
ERT# � � v� �� � CJ 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 contractor shail be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. it sfiall be unlawful to wver
any connecting line until an inspedion 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 initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lea�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 shalt 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 appiicant,
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)