Meter Swap �
, Request Number: 16099
Public works Division
,� Service Request
Problem Address: 501 Glencoe St Requested By: Jotm Kinkaid
DepArtment: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-503-2708
Scheduled Dsite: 2017-06-23 Sc6edaled 1lme: 01:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-22
ACTION TAI�N:
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Status: 1n Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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City o#Frid9ey � � ,/��
Water Departarv�ent ���
` 6431 University Avenue NE
Eridley,MN 55432
763-572-3566
i/we hereby autho�ize the Cty of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is iiable for the water line from the main to the premise and ali irrterior
plumbing. (Per City code 402.06) t atso hold the City of Fridfey and/its employees harmless for anr dama�es thafi mar occur while doing this
operation. This to include,but not(imited to vafves,piping,walis,floors or the curb stop box and service line. In understand l am also required
to abtain a permit prior to ar►y work,if necessary.
FINAL METER READtNG(old meter) � � �� ���
Name: � ��� Address �� ��� VW� �
Phone lYum r lY V t�`^ J Vd �(.V Date_�n���r v�
Signature ` Witness Signature
OLD METER# �v�� `� �����2'"��
OLD READING � � cJ 1 I O LJ "� S,l�l,(��y j(I d,.�"�'�/I� ��y��
NEW MfTER# "T � ��✓ `��"�
NEW READIPIG lJ
E�# _�1Z�-t,2- �0��
FRIDLEY ClTY CODE _
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATlON
(Ref Ord No 113,4�4,565,566,629,638,662,922,988,i144,1156,1191)
402.5 PERMIT FEE
Prior to constructi�g or repair of any water of sewer iine connecting the existing municipai system and any house or buitding for which the
applicatson is made,the owner or contrador shail!�e required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the 1Nater and Sewer Deparkmer�t sfiall be natified. k shall be unlawful to cover
any connecting line until an inspection has heen made and such connection and the work inadent thereto has been approved by the City as a
proper and suitable connectivn.
402.06 REPAfRS AND MAINTENANCE TO COIVNECTION
After the initial connection has been made to the arater service curb stop Ibox or the sewer lead at the property line or a water service lead has
been extended to the property line fo�connection,the applicam,owner,or occupant or user of such premises shall be Ifabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. lf the property owner
requests mairrtenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. tt sfiall be the responsibitity of the applicant,
owner,occupant or user to perform standa�d ma'scrteoance of the sewer service tine from the premises to the main including 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 abrnre the finished
grade of the land or property. (Ref 638,1156,1191]