Meter Swap i
4
Request Number: 16594
Public Works Division
Service Request
*`�'roblem Address: 555 Glencoe St Requested By: Allan Hoffer
Department: WATER Address: No address provi�d
ProblemJIssue: INSTALL AMR ME'IER Phone Number: 612-715-0330
Scheduled DAte: 2017-08-21 Scheduled'llme: 01:00:00
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�' r�i�C1TON NEEDED:
Created by: Wendy Hiatt DAte Crested: 2017-08-07
ACTTON TAKEN:
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Status: In Progress Snbmitter Has Been r..,
, Contacted
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��''v� �►ereh,�aut9sorize the�Caty of Fe�d4ey and/or'sts ampicyPes to.do urhat as�ecessary ti
a�eg�tace the uratzr meter. !�anderstand that the�fr�perty a�rner is 9iable for the avater line from the�nain to the premise and a!1�esterior
��ura�sEaing. {Pet�ity�ode 4m2.�6� !atsrs hoid the�fiy�E Frsd4ey and�ts employees ha�rtsless fmr ac�y�4ara�ages that rnay occur white doing i�►i;
�yxeratiun. 7'his to indude,�ut not 4imited to valves,�iping,uraids,f�oors nr t�ve�urb stap box arad serv�ce 4ine, in understand 8 arn also r�qui
go aistain a pe+�ait�SrBor to any�rarfc,if�ecessary.
FgnfAL MET�E�2 READltYG{ald meter} `�' V" `� �� �
Name:__ I�c��'� �^�C'r`C.� Address �`� 5 VI �e.�,e.f9"� �
Phone Number ��'�" 6� -- 03 3aa� � � �, �-' l�.
����re W�rtess Signature
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OLD READl6VG v� �V���
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NE�READI�f's C�
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FRfDIEY C1TY CODE
�HAP�'EFi 402.�14/A�R,STt?RM 4VA�R AND SANITARY SEWER
A�Af46Rii5TRAT10N
4�ef Occ6 N�113,4�,565,5�6,629,638,662,922,�88, 114�4,1156�1191)
4�2.5 d�ERMIT�EE
� Prioc to canstructing or reEaair of any water of sewer{ine connecting the existing municipat sysCem and arry house or t�uiiding for which�Ete
apptication is made,the awner or cornxactar she{t be�equired to abtain a�er4nit for such connectiore,and sha(i pay a permit fee as provided ir
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be notified. tt shaq 6e unlawfui to cov,
any connecting(ine until an inspectiora has been made and such connecti�n and the work incident tt►ereto has been approved f�y tihe Cifiy as a
�roper and suitable connection.
402.06 REPAIRS AiVD MAaPiTENANCE TO CONtYECTtON
After the initiai connectiort�as been rrsade to ti�e water service curb stop trox or the sewer tead at the properly Dne or a water service;ead has
been extended to the proper�y line for cannection,the appficarrt,owner,4r occupant ar user vF such premises shaU he iiai�le fos�aii repairs
required to any water dine and se�rrer 4ines necessary for cortnection of the prerrrsses from the main to the premises. tF the properly owner
requests mairrtenance senrice or repairs be performed by the Crty,the prvperty awcser shall be charged for fihe costs of the mai�enance andJ�
repairs,inciuding necessary street repairs at a rate set annualfy by an administraCive poiicy. tt shafl be the resporrsihilit+�of the applicarrt,
owner,accuparrt ar user to perform standard mairrtertance o�the sewer service line from the premises to#he main includir�g debris dearing or
roo+t�utting and to mai�tairt the wate�service curb stop box#or ogesa6itity and at such height as wiil ensur�that it remaie►s sbvve the tinished
grade�F the iand a�praperty. {62e#538,19.55,1191)
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ty of Fridley �D���
ater Department
�ddress J�� ������
tame �S ��
�ate ����
ild Meter Number �������j�
►ld Meter Reading ,� �
eplacement No. �3� �� r �
eplacement Reading
aplacement Make �'-�tJ ,
►marks• L�y rn��
Signed_ � �