Meter Swap j Request Number: 15384
Public Works Division
Service Request
Problem Address: 139 Glen Creek Rd Requested By: John Paimquist
Dep�rtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-7698
Scheduled Ds►te• 201?-0 -17 ...� Sehednlid'tlme: 11:30:00
� .
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-16
AG7ION TAI�N:
_.Y�._..__...__�. .___.._.._
_
Status: In Progress Snbmitter Has Been r
Contacted
Date Compteted: Completed by:
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City of Fr�dley
. Water Department ��� ���/1
5431 University Avenue NE �
Fridley,MN 55432
763-572-3566
��We hereby authorize the City ofi Fridley and/or its employrees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water fine from the main to the premise and all interior
piumbing. (Per Gty code 402.06) I also hold the City of Fridley and/its employees harmless for any damages tfiat may occur whiie doing this
operation. This to include,but not limited to vabes,piping,walls,floors or the curb stop boz and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REA�tNG(otd meter) � ��� � �O
Name:�G52J�_'1��,� �,_ Address � �� �1��� �,.J' `''u�
Phone Number �_ � � p�e � ��' I �
Signature_�, Witness Signature
OLD METER# �����`� �
OLD REAOtNG _ `I, v�� � C�
NEW METER#� �`' �O�O��
NEW READING 1 /
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ERT# � ` �J����
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,fi52,922,988,1144,1156,1191)
402.5 PERfU11T FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or bu0ding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and sha{I pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmeM shaU be nottf'ied. It shall be unlawfuf to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has heen approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial c�nnection has been made to the water service curb stop box or the sewer lead at the properly line or a water servke lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. ff ihe property owner
requests mairitenance service or repairs be pe►forsned by the C'�ty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualty by an adm'snistrative poliry. It sfiall be the responsibility af the applicarrt,
owner,occupant or user to perform standa�d mairrtenance of the sewer service line from the premises to the main imluding 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
�rade of the land or property. (Ref 638,1156,1191)