Meter Swap Request Number: 15387
� Public works Division
Service Request
Problem Address: 135 Glen Creek Rd Requested By: Robyn P.
Department: WA1ER Address: No address�,xovided
Problem/Issue: INSTALL AMR METER Phone Number: �63-413-9588
ScheduledDate: 017-OS-17 �( SchednledlIme: 07:30:00
'� �
ACTION NEEDED:
Created by: Beth Korxfrick Date Created: 2017-OS-16
ACTION TAI�N� �
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Statas: In Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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City of Fridley �� ! ' ����� r� �
Water Departrnent �D � �(_���
6431 University Avenue NE ���
� Fridley,MN 55432
763-572-3566
I/we hereby authorize the Clty of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and ali ir�terior
piumbing. (Per CiLy code 442.06) i also hold the�ty of Fridley and/its employees harmless for arry damages that may oca,�r while dang this
operetion. This to include,but not limited to vaives,pipin�walls,floors or the wrb stop box and service tine. In understand i am also required
to oirtain a permit prior to any work,if necessary.
FINAL METER READlNG(old er� � t � � ���
Name: � �� Address � �� lS� `� � �'�t
Phone Number i EJ�1- { ����� p� �r��� � /
Signature_�� Witness Signature � \ ��
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OLD METER# _ ���� �! o�Z
OLD READING � Ir � ! � ��
NEW METER# _ � ��O ` 1 J Z
NEW READING �
ERT# � � 0 � 2'� �Q
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SE'WER
ADMI'AIISTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecking the existing municipal system and any ha�se or bullding for which the
app{ication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt sfiall be notified. It shail be unlawful to cover
any connecting line until an inspedion has 6een made aad 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 COPINEC170N
After the i�itiai connection has been made to the water service curb stop box ar the sewer lead at the property line or a water seroice iead has
been extended to the property line for connection,the appitcaat,oavner,or occuparrt or user af such premises shali be liable for all repairs
required to any water line and sewer tines necessary for connection of tfie premises from the main to the premises. tF the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mai�rtenance and/o�
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard mairrtenance 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 witl ensure tfiat it remains above the finished
grade of the land or properCy. (Ref 638,1156,1191)