Meter Swap ,
Request Number: 15973
PuWic Works Division
Service Request
Problem Address: 548 Glencoe St Requested By: Leon
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-222-8382
Schednled Date: 2017-06 19 � Scheduled Time: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-13
AC'TION TAI�N: � ��
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Status: In Progress Snbmitter Has Been r
Costacted
Date Completed: Completed 6y:
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' 6431 l�nisoersity Ave+�tae NE � �-�Z,Q'
Fridley,MN 55432
763-572-3566
,/'Ne hereby authorize the Crty of Fridtey and/or its employees to do wfiat is necessary to
replace#he water meter. t understand that the pro�oerty owner is liable for the water line from the main to the premise and all iMerior
piumbing. (Per�ifiy code 402.06) t also boid the Cifiy of Fridley andPts employees harmless for any damages that may occur wh7e doing this
operation. This�to indude,but not limited to valves,piping,waits,floors or the curb stop box and senrice line. tn usxlerstand t am aiso requirE
to oFrtain a permit prior to arry�►rarfc,if necessary.
FINA!t++tiETER READING(o(d meter] � "'�� ���
Plame:��� Address_�'"1� lT�(�r�� �
Phane 9Yumber l�rJ Z ��I/�pate�w 1�� � I
�Si n re Witness Signature
g l ��,��
Ol.D METER# �� �
OLD READING ��.� l�� V
NfW NfETER# `"`1�,� rP LJ l—J
NEW READlNG S/
£�T# �1�2 41 �W
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANiTARY SEWER
ADMtNISTRATtON
(lie#Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arty aiater af sewer line connecting the existing municipal system and any fiouse or buiiding for which the
applicatian is made,the owner or cor�tractar shall be required to obtain a permit for such connectioa,and shatl pay a�rmit fee as provided in
Chapter 110#this Code. After such connection has been made,the 4Vater and Sewer Department shaU be notified. It shatl be unlawful to cover
any connecting line unti!an inspection has been made artd such connection and the work incident thereto has been approved by the Crtrj as a
proper and su'rtable connecfiort.
402.06 REPA[RS AtYD MAINTEPiANCE TO COPiNECTION
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 servtce lead has
been extended to the property lioe for connection,the applicarrt,owner,or occ�pant ar user of wch premises shall be IiaWe for ali repairs
rec{uired to any wrater line and sewer lines necessary for cvrtneetion of the premises from the main tn the premises. tf the propesfij�ner
requests mairrtenance service or repairs be performed by the City,the property owner sfia0 be charged for the costs of the maintenaace and/vr
repairs,inctuding necessary street repairs at a rate set annually by an administrative poliey. It shalt be the responsibility of the appiicarrt,
owner,occuparrt or user to perPorm standard mairrtenance of the sewer service iine from the premises to the mais►isidud(ng debris dearing o�
root cutting and#o rnairrtain the water senrice curb stop box fo�operability and at such height as wiii ensure that it remains a6ove the finished
grade af the land or property. (Ref 638,1155,1191p