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Request Number: 17626
Pt�l[c worka Dlvisbn
Servke Request
.�roWem Address: 1414 West Da�b�Road Requated By: Brian Wcisa
Departme�: WA1ER Addrea: No addross provided
Problem/Iasue: INSTALL AMR ME'IER Phone Namber: 612-720-0719 `�
Scheduled l�te: 2018-01-30 � 3cheduled 11�: 08:00:00
a
ACTTON NEEDID:�tall AMR
Created by: Jeaonie Be�on Date Created: 2018-01-24
ACTION TAI�N:
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Statue: In Progress Snbmitter Hu Been r
Contacted
Date Completed: i� , Completed by: �
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55�32
763-572-3566
1/we 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 IiaWe for the water line from the main to the premise and afl interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. 7his to include,but not limited to valves,piping,walis,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.
FINA4 METER READING(old meter) 1 � C D � C2� a
Name: ����� ��5 Address '� ' 1 W� ����V V �v�
Phone Number ���` /O"� `' O !� I Date � � �� � �V
�Signature�(�a-�+ ��,r� Witness Signature
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OLD METER# � ✓�� ��� & STYLE Circle �
/9as� �
OLD READING �" 5/8' HE ►`�� �����
C�
NEW METER# � � � `� � ` � I 1" HEX
NEW READING v 1'r4" ELIPTICAL or HEX
ERT# � � �� 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 contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to wver
any connecting line until an inspection has been made and such wnnection and the work inc+dent thereto has been approved by the City as a
proper and suitable connection.
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 a0 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 shall be chasged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail 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 operabi�ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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