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Fridley
Requ�st Numb�r: �s��9
�ubilc Wo�s �ivision
Ssrvic• Raqu�st
Problem Addre�: 7500 Alden Way Requested By: Mike w/St Paul Regional
Water
Deparlmenl: WATER Address:
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Problem/Iseue: INSTALL AMR METER Phone Number: 651-766-4150
�� � I �� Schednled Time: ��L�1'Y�
Scbcdute�Data: (��
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ACTTON 1�iEEDED: 1 1/2"AMR
Cr�ate� By: Wendy Hiatt
�ate �na�ed: 2018-05-10
AGTtON TAKffN: ' ��
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Status: - Submitter Contacted: false
Dnte Ce�pleted: Completed By:
Hours:
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City of Fridtey
Water Department ��� — �~�v�r
6431 University Avenue NE
Fridiey,MN 55432
763-5723566
�/we fiereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the propesty owner is liabie for the water line from the main to the premise and ail ir�terior
plumbing. (Per C'�ty code 402.06� 1 alsa hold the City of Fridley andjits empioyees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walls,Hoors or the wrb stop box and service line. In understand t am aiso required
to obtain a permit prior to any wo�lc,if necessary.
FINAL METER READING(old meter) �O � � v L6 ��
tYame: ���1�1'�`jL W��.��dress ! �J'�� �� "�Y"i
Phone Numb� p� �� �'� �
Signature �fiiess Sig�ature
OLD METER#_`�a�a �� � S E & LE Circl
,.
�LD READ{NG � ��� r� 5/8" HEX
NEW METER#_ . � 1 1 � �� � �� 1" HEX
NEW READING � 1' " ELiPTICAL or HEX
ERT# t� V� �K,.� 1�_ 2" ELIPTICAL or HEX
FRIf�LEY CI'i'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa{system and arry house or building for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been aqproved 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 sQrvice lead has
been extended to the property line for cannection,the appliwnt,owner,or occupant or user of such premises shall be itab4e for aii repairs
required to any water line and sewer lines necessary for connection of the premises from the main te the prernises. 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 mairrtenance andjor
repairs,including necessary street repairs at a rate sQt annually by an administrative policy, it shall be the responsibi{ity of the appf�ant,
owner,occuparrt or user Co perform standard maintenance af the sewer service line from the premises to the main incfudingfleffris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it rem�iris above the�nished
grade of the land or property. (Ref 638,1156,1191)
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