Meter Swap w
Request Number: 15937
Public works Division
Setvice Request
Problem Address: 635 Glencoe St Requested By: Marilyn
Department: WA1ER Address: No address provided
ProblemJTasue: IN5TAI,L AMR METER Phone Number: 786-5044
Scheduled Date: 201?-06-13 Sc6edoled T1me: 01:30:00
3'� ,
ACIION NEEDED:
Created by: We�y Hiatt Date Created: 2017-06-12
ACITON TAKEN: ��
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5tatus: In Progress Submitter Iias Been r
Contacted
Date Completed: Com�eted by:
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���,�#��aa'ey � �—Sa 9a�a � C�l
• water�epartmen�
6431 lJniversity A�renue NE `J`.' ' ' ����
� Fr�dley, NEN 55432
763-572-3565
��'Ne hereby authorize the C'rty of Fridiey and/or its empioyees to do ruhat is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from#he main to the premise and aft'srrterior
plumbing. {Per�ty code 402.06) i elso hold the City of Fridley and�ts employees harmless for any damages that may ocwr while doing Chis
operation. This to indude,but nat timited to valves,pipin�wafis,floors or the curb stop box and service line. In understand!am also require
to abtain a permit prior to any wor�c,if necessary.
FINA!METER READIAtG(oid meter�� � �
Plame:_������, Address_C ��� �"""� ��
Phone�lumber�1J1(">"^'�� pa� �j' `�� ��
'Signature Witness Signature
OLDMETER# ��_ 1 IJ l��
f3LD READING v `4-��� ���
WEW METER# "1 `Z�� I��
NE11V READING�
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ER[DI.EY CITY CODE
CHAPTEli 402.WATER,STORMI WATER AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191j
4�2.5 PERMlT FEE
Prior to sonstructing ar repair of any wate�of sewer line connecting Lhe existSng municipal system and any house or buildir�g for which the
application is made,#he owner or corrtractor shatl be required to obtain a permit for such connection,and shatl pay a pesr►�it fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall he unlawful to cover
any connecting line until an inspection has been made and such connection a�d the woirfc incident thereto has been approved by the City as a
proper and witable connection.
402.05 REPAfRS AND MAINTENANCE TO COPiNECTION
After the initial connectio�has been made to the water service curb skop box or the sewer lead at the property line or a water service lead has
been extended to the property line for tonnection,the applicarrt,owner,or occupar�t or usQr af such premis�shafl be liabie for aN repairs
required to any water 13ne and sewer lines necessary for connection af the premises from the main to the premises. tf the yxoperty oarner
requests mairnenance service or repairs be perFormed by the C'rty,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set aonually by an administrative policy. tt shaft be tF�e responsibility of the applicar�t,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the rnain inctudi�debris dearing or
root cutting and#o maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af tEze land or property. (Ref 638,1156,1191)