Meter Swap s
• Request Number: 15847
Public Works Division
Service Request
Problem Addresa: 574 Glencoe St Requested By: Daryl Sies
Department: WA1ER Address: No address p�ovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-783-7969
Scheduled Date: 2017-06-15 Sc6edaled'Rme: 01:00:00
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ACIION NEEDED:
Created by: Beth Ko�rick Date Created: 2017-06-07
ACITON TAI�N:
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Status: In Progress Sabmitter Has Been r
Contacted
Date Completed: Completed by:
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�'�����adreY '�j�_��� 9 `�v �-a Z
• wa�er oepart�eeaet
� 6431 l�niversity Avenue NE �b � ,// ��
Fa�dOey, MPI 55432 �f'�O
763-572-3566
+�'~e hereby authorize the Crty of Fridley and/or its employees to do what is necessary to
replace the water meter. f s�nderstand that the�roperty owner is liable for the water line from the main to the premise and a!i irrterior
piumbing. {Per City code$02.06j 1 also hold the City of Fridiey andPts employees harmless for any dama�es that may occur while doing this
operation. This to indude,but not limited to valves,pipin�wails,floors or the curb stop boK and service line. in undersfiand t am also requir�
to abtain a permit prior to arry�nror&,if necessary.
FIi11A!M READ{NG(old meterj � 1 ✓� 3 �
Name: ��� L��� `(�
Address � ` ��,Q�C�T�+ ( �
Phone 9Yumber�� i f�� � I I�� p� � ' 1 � ` `�
� / G� i
y/ Signature � �_ Wrtness Signature
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OlD METER# t U/iC.J 1 I��
OLD READING _ J ��J��O
NEW METER# { - I [��yOZq �
NEW RIEADtN�
E�tT# � l�`JC� '"f - t �D�
FRIDLEY CITY CODE
GHAt�TER 402.WA�'ER,STORM WATER AND SANITARY SEWER
ADMtNI5TRA7'ION �
((ief Ord No 113,464,565,566,529,638,662,922,9$8, 1144,1156,1191)
4U2.5 PERf1AiT FEE
Prior to constructing or repair of arry water of sewer iine connecting#he existing municipal system and eny house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shail pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be rtotified. It shall be unlawful to cover
any connecting line unti!an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
4Q2.06 REPlaIRS AND MAINTENANCE TO COfYNECI'IOW
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service fead has
been extended#o fihe property line for connection,the applicarrt,owner,or occupar�t ar user of such premises shall be ttabie for ail repairs
required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tF the properly oarner
requests mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually kry an administrafive potiry. It shall be the responsibit'ity of the applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as arill ensure that it remains above the finished
grade af the(and or property. (Ref 638.1156,1191)
Request Number: 9517
Public Works Division
Service Request
Problem Address: 574 Glencoe St Requested By: Police Disptach
Department: WATER Address: No address provided
Problem/Issue: WATER MAIN BREAK Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Possible water break.Water is running down the street.
Created by: Wendy Hiatt Date Created: 2014-11-21
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
Hours
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