Meter Swap , Request Number: 15599
Public Works Division
Service Request
Problem Address: 100 Glen Creek Rd Requested By: Caleb
Department: WA'IER Addreaa: No address provickd
Problem/Issue: INSTALL AMR METER Phone Number: 612-860-6437
Scheduled D�te: 2017-05-30 5chednled'Ilme: 08:30:00
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ACTION NEEDED:
CreAted by: Beth Kondrick Date Created: 2017-OS-26
ACTION TA[�N:
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Status: In Progress Sabmitter Has Been r.
Contacted
Date Compieted: Completed by:
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�City of Fridley � 1 � ��`� " � ✓�
Wa er �
t Departrnent
� 6431 fJniversity Avenue NE �� � ��� �
� Fridley,MN 55432
763-572-356�
�,1i1e here6y authorize the C'rty of Fridley and/or its emptoyees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line frocn the rnain to the premise and ali irtterior
plumbing. (Per City code 402.06} 1 also hotd the City of Fridiey andJits empioyees harmtess for any damages that may oaur whiie doing this
operation. This to inciude,but not limited to vaives,piping,walis,floors or the curb stop bax and service line. In understand t am also required
to obtain a permit prio�to any work,if necessary.
FINAL METER READiAIG(old meter) �� �� 1 ��
Piame:�� Address Y �VC�1/\ \..J�'c�l� r"�"v''
Phone Nu r lv ' ���, �'`6�0^�
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Signatur Witness Signatu�e
OLD METER# `�`�V ! � ��Z
OLD READtNG__ I� �� � J�
NEW METER# �"ti L�2 � � � t
NEW READING�_/
ERT# `� J�� `�' � �
FRiDLEX CITY CODE
CHAPTER 402.WA►TER,STORM WATER AND SANlTARY SEWER
ADMlNlSTRATiON
(Ref Ord No 113,464,565,566,529,638,662,922,988,i144,1156,2191)
402.5 PERMIT FEE
Prior to canstructing or repair af any water of sewer line con�ecting the existing municipai system and arry house ar bui{ding for which the
application is made,the owner or corttrador shall be required to obtain a permit for such connectioe,and shall pay a permit fee as provided in
Chapter 11 of this Cade. After such connecCion has been made,the Water and Sewer Departmerrt shali be notified. It shalt be un[avrful to cover
any connecting line unti{art inspection has been made and such connection and the work incident fihereto has been approved I�y the City as a
proper and suitable cqnnectiort.
402.06 REPAIRS AND MAINTEP{APICE TO COPIIVECTtOAI
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 service lead has
been extended to the property line for connection,the appiicant,owner,or occupaot or user of such premises shail be ltaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the gremises. tf the property rnnrner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of tfie maimenartce and/or
repairs,including necessary street repairs at a rate set annuaily by an adm�nistrative poiiry. It sfiall6e the responsibitity of tfie applicart,
owner,occuparrt or user fio perForm standard rtiairrtenance of the sewer service line from the premises tv the ma+n including debcis clearing or
root cutting and to maintain the water service curb stop box fiar operabifity and at such height as wiii ensure that it remains above the finished
grade af the land or praperty. (Ref 638,1156,1191)