Meter Swap � Request Number: 16220
Public Works Division
Service Request
Problem Address: 529 Glencoe St Requested By: Susan
Department: WA1ER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 612-805-3164
Scheduled Date: 2017-07- 0 Schednled'Ilme: 09:00:00
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ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-30
ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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' Water Departrv�ent
6431 UniversityAvenue NE �'�.. � G'7�
Fridley,MN 55432 �
763-572-3566
I/we hereby author9ze the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable far the water line from the main to the premise and all interio�
plumbing. (Per City code 402.06] I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understaml l am also required
to abtain a permit prior to any wor[c,if necessary.
FNYAL METER READfNG(o1d meter) � ��
FYame• cl�S Jw' ` Address �� C��v'`�V� �
Phone Alumber
2� — 3! o� —� — �p — ��l
XSi, g�re �'� witness Signature
OLD METER#_ 1 I, �� �� (/`�
OLD READ{NG �V"�i� t��
NEW METER# `�"L=\ J��CJ�
NE1N READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIQN
� (Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to�constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
applica#ion is made,the owner or contractor shall be required to obfiain a permit for such connection,and shalt pay a permit fee as provided in
Chapter 11 af this Cade. After sucfi connection has been made,the Water and Sewer Departmerrt shail be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at tfie property tine or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line a�d sewer lines necessary for connedion af the premises from the main to the premises. if the property owner
requests maintenance servlce or repairs be performed by the City,the property owner shall be charged for the�of the mai�enance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administretive policy. It shall be the respos�sibility aE the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
�rade of the land ar property. (Ref 638,1156,1191j