Meter Swap , Request Number: 15903
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Public Works Division
5ervice Request
Prohlem Address: 595 Glencoe St Requested By: J�uly
Department: WA'lER Address: No ad�ess provided
Problem/Issue: INSTAL.L AMR METER Phone Number: 763-786-4959
Scheduled Date: 2017-0 -13 Schednled 1lme: 08:30:00
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ACITON NEEDED:
Created by: Wendy Hiatt Dstte Created: 201?-06-09
ACTION TAI�N:
_........���.:.��.11_.�...r�.._�._.__......_...._._ ._.__.____........_____.._._.._._._ __ _._ __
Status: In Progress Submitter Has Been �
Contacted
;
D�te Completed: Completed by:
�0-13 - �7 br'
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�ity of Erac!!e{/ ��� �
W���r���a���n� 3d � - �
&431 l�niversity Avenue NE �D ,r ����
.
Fatidley,MN 55432 �zF
763-572-3565
��'Ne hereby authorize the Gty of Fridtey and/or its empiayees to rlo what is necessary to
reptace the water meter, i understand that the property mwner is liable for the water line fram#he enain to the premise and aff iriterior
pfumbing. (Per�'rty code 402A6j 1 also hold the City of Fridley and/its employees harmiess for anY damages that may ocwr while doing this
operation. This to incfude,but not limited to valves,piping,walts,floors or the curb stop box and senrice line. In understand 1 am aiso requirE
to obtain a permit Qrior to arry work,if necessary.
FIPIA!METER READING(oid meter) ���O�
Name:��� Address ��� �3 +Ir'�` '�. �`�'
PhoneNumber _ l}0� 6�_���� � ��r— `�
Signature */'`-�1i►4�y W�ess Sigrtature _
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OLD METER#_ ���� �S��T �"'� I�'I�� �5�'
OLD READtNG �Z� V'�--V
IVEW METER#_—i {���/ -1 �D
NE1�V READtNG �
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FR(DLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER AAID SANITARY SEWER
ADMINISTRATION
([tef Ord Na 113,46�L,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair oE any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or corrtractor sha(1 be required to ob#ain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connectioa has been made,the Water and Sewer Departmerrt shali be natified. it shall be unlawful to cover
any connecting line until an inspection has been made artd such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabie connection.
402A6 REPAIRS AMD MAINTEPIANCE TO COPIMECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property lfne or a wrates senrice iead has
been extended to the property line for connection,the applicarrt,owner,or occupant ar user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or conneetion of the premises from the main to the premises. If the prvperty owner
requests mairrtenance service or repairs be performed by the Gty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shal!be tf�e responsibPiity of#he applipnt,
owner,occupant or user to perform standard mair�tenance of the sewer senrice line firom the premises to the main including debris dearing or
root cutting and#o mairitain the water senrice curb stop box for operabifity and at such height as wiii ensure that it remairrs above the finished
grade a�f the land or property. {Ref 638,1155,1191J