Meter Swap �
�
Request Number: 16186
Public Works Division
Service Request
Problem Address: 680 Glencoe St Requested By: Trewr
Department: WATER Address: No address pzovided
Problem/Issue: INSTALL AMR METER Phone Number: 612-581-4106
Scheduled Date: 2017-07-I 1 Schednled 1ime: 08:30:00
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ACTION NEEDED:
Created by: Beth Ko�irick D�te Created: 2017-06-28
ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
Contscted
Date Completed: '`� � I� /`� Completed by:
I` 1 p�,�i,,Ei
� � �a�' Sa� �d 0" (�y
�i�y of pridley � � ����
Water De artrnent S
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the Gty of Fridiey and(or its empioyees ta do what is necessary to
replace the water meter. 1 understand that the property owner is liable for ihe water line from the main to the premise and all interior
ptumbing. {Per City code 402.06) I aiso hold the C�ty of Fridley and/its employees harmless for a�y damages that may occur while doing this
operation. This to include.but aot iimited to valves,piping,walis,floors or the curb stop box and service line. In understand!am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIMG(oid meterj 3 a� ����
Mame: �1 i V v� Address `� �V � 1p�,�.(�`Q 5 J�-
Phone Numher ' ` J �1 �I �✓� Date _ �� � � � I �
_. ___...._
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�gnature ----�Witness Signature
OLD MfTER# (0�L 3 ����
OLD READING �� � � g ✓v
NEW METER# � � �✓ � �� /
NEW READING �
ERT# ��� I ��� 1
FRfDLEY CITY CODE
CHAP'tER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4f�t,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the euisting municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shalf pay a perm(t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notified. It shali be uniawful to cover
a�y connecting liae antil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectio�.
402.06 REPAIRS AND MAIPITENANCE TO CONNECTtON
After the initiai connection has been made to the water service curb stop box or the sewer lead at the properly(ine or a water servic�e iead has
been eutended to tfie property tine for connection,the appliprrt,awner,or occuparrt or user of such premises shall be liable for all repairs
required to any Nrater tine and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs 6e performed by the City,the praperty owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuall'y by an administrative policy. It shall be the responsibility af the app�ipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main incfuding debris clearing os
root cutting and to maintain ihe water senrice wrb stop box for operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191}