Meter Swap ,
� Request Number: 15345
Public works Division
Service Request
Problem Address: 136 Glen Creek Rd Requested By: Paul Bauhaht!
Department: WA1ER Aeddress: No a�lress grovided
Probtem/Issue: INSTALL AMR METER PLone Nnmber: 763-571-6929
Scheduled DAte: 1?-OS-19 Sc6edaled'Rme: 01:00:00
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ACIION NEEDED:
Created by: Beth Kondricle Uate Created: 2017-OS-I S
ACIION TAKEN:
Statos: In Progress Submitter H�s Been r
Co�ncted
D�te Completed: Completed by:
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' City of Fridle �
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Water Department
6431 University Avenue NE
Fridley, MN 55432
753-572-3566
�1N+e hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line f�om the main to the premise and ali i�rterior
piumbing. (Per City code 402.06) 1 aiso hold the City of Fridfey and/its empioyees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves.piping,walis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtai�a permit prior to any work,if necessary.
FINAL METER READIN6(oid meter) ��,��
Name•_��� ����� Address ��� LJ'{r��- C��.. �p�.
Phone Number Y������✓��� p� �r ��`��
Signature \ Witness Signature
OLD METER# ������ " �
OLD READING '�t� ����0
NEW METER# � y ���� `�- +
NEW READING O
ERT# � ��� 1 �� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water ofi sewer line connedt�g the existi�g municipal system and any house or buifding for which the
appiication is made,tfie owner or coMrador shal{be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Department shail be notified. it shail be untawful to cover
any conneding line urrtil an inspecCion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitaple connection.
402.06 REPAIRS APID MAfPITENANCE TO CONPtECT10N
After the initiai connection has been made to the water servtce curb stop box or the sewer lead at the property tine or a water service tead has
been eutended to tfie property ilne for cosmection,the appiicant,owner,or occupant or user of such premises shall be liabie fo�ap repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. !f the propertlr rnrvner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shali be the responsibi{ity of the applicant,
owner,occupa�t or user to perform standard maintenance of the sewer service iine from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191j
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