Meter Swap .
Request Number: 15877
` Public Works Division
Service Request
Problem Address: 640 Glencoe St Requested By: Tom
Department: WATER Address: No�dress provit�ed
"Problem/Issue: INSTALL AMR METER Phonc Number: 763-786-8112
`�ednled Date: 2017-Ob-12 � 5chednled 1ime: 02:00:00
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AGTiON NEEDED:
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Created by: Wendy Hiatt Dsite Created: 2017-06-08
ACTION TAI+LEN:
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Status: In Progress Submitter Has Been r
Contacted
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Date Completed: � Completed by: �. �
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City of Fridley
�d�- �9a �-C�l
Water Department �t ��G ,r
� 5431 lJniversity Avenue NE J��� ��'f�
� Fridiey,MPI 55432
763-572-3566
��°A�e here6y authorize the City of Fridtey and/or its emptoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and alf interior
piumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may ouur while doing this
operation. This to indude,but not limited to valves,pipin�walis,floors or the curb stop box and senrice line. In understand!am also required
to obtain a permit prior to am��rork,if aecessary.
FINAL METER READING(old meter) �� � " `� D
Name: ���" Address �D�V il. � P p
Phone Number v�'J ` ���4-'' $�V o�- p�_ � -- ��"�
Signature �� �-�-�� Witness Signature ���
OLD METER#_ ����� �� � �'� �
OLD READING v� t � t 1 �
NEW METER#_ _ � I �(�����
NEW READING � ��
ERT# _ � ��� L � ��
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)
402.5 DERMiT FEE .
Prior to constructirtg or repair of any water of sewer iine conneding the existing municipai system and any house or building for whith the
applicat�on is made,the ourner or contractor shall be required to obtain a permit far 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 Departme�shai[be notefied. It sha4!be uniavaful to cover
any connecting fine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AIYD MAINTENANCE TO CONNEC170N
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 sonnection,the applicant,owner,or occuparrt ar user of such premises shall be lial�e for all repairs
required to aay water line and sewer{ines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be perfo�med by the City,the property owner shall be charged for the costs of the maintenance and/er
repairs,including necessary street repairs at a rate set annually by an admi�istrative poticy. It sfiall be the responsibility of the appticarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer seroice line from the premises to the main includi�debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains a6ove the finished
�grade of the land or property. (Ref 638,1156,1191)