Meter Swap . Request Number: 15344
Public works Division
Service Request
Problem Address: 151 Glen Creek Rd Requested By: Joan
Departmeet: WA1ER Address: No address provi�ed
Problem/Issne: INSTALL AMR METER Phone Number: 612-871-8101
Scheduled DAte: 2017-OS-18 Schednle�1lme: 09:00:00 ,
�
ACTIaN NEEDEU:
Created by: Beth Kondrick Date Cre�►ted: 2017-OS-1 S
ACI'ION TAKEN:
�-:���-� l�� . ��:�?-___ __�_._..._.�._____.._..._ ___
Status: 1n Progress 5nbmitter Hns Been r.
Co�acted
DAte ComQleted: � � � _ �� Completed by: P L
' J�1 �e.
: .�.
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�D �-��� 3� ���
. City of Fridley �n � ����
., Water Department E�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City af Fridley andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all inte�tor
plumbing. (Per City code 402.06) 1 alsa ho{d the City of Fndley and/its employees harmless for any damages that may axur while doing this
operation. This to inctude,but not limited to valves,piping,walls,floors or the curb stop box and service line. lo understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REAOING{old meter) �� �� � � �
Name: ��`C.t.-t/1 Address_ 1:) 1 l7��p,4^ � ,� ��
Phone Number �Q.�Z. — � l� — U��� Date "~ ` r!" l 1
Signawre Witness Signature
OLD METER# ��`�S t� � � �
OLD READING V�g �� ��
NEWMETER# _ I 1��0� - I� g
NEW READING v
ERT# l l 1 �� � / 3
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)
4�2.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and ar�y house or buflding for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection.and shail pay a permtt fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal!be notified. It shall be un{awfuf to cover
any conneding line until an inspection 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 CONNECTtON
After the initial connectio�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{ine 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 shall be charged for the costs of the mairnenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsitsility of tfie 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 fo�operability and at such height as wit{ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)