Meter Swap ; Request Number: 16481
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Public Works Division
Service Request
Problem Address: 530 Glencoe St Requested By: Laura Jorgensen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-276-2832
Scheduled Date: 2017 8-18 � Schednled 1lme: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-27
ACTION TA,I�N:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by: �
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w'ater�e�artevient
� 6431�r�iversity Avenue NE
4
Fradley,MN 55432
753-5723565
ad`'�� hereby authorize the City of Fridtey andjor its emplayees to do what is necessary to
repface the water aneter. t understand that the property awner is I'sable for the water line trom the main to the prem�se and all interior
piumbing. (Per Cit+j code 9A2.t16) f also hold the�ty of Fridley and�ts employees harmiess for arry damages that may occur whife doing this
operation. This to include,but not limited to vatves,piping,walls,floors or the curb stop box and service line. in understand i am also require
to obtain a�ermit�rior to any raor&,if necessary.
FlPIAL METER READiNtG(oid meter) �� r��0
Name: �`^, dress � � '^�y`CJ�`+ �
Phone Num `�/J � l`K�� ���ipate � ' � y (
�Signature Wr�ness Signature
OLD MET£R# C�t� �Ii � ��
OLD READlNG ��J� l�
NEW METER# ��/ ���
NEW READING�
EFtT# � L�'t,?����j�
FRIDIEII CITY CODE
CHAPTER 4Q2.WATER,STt7RM WATER AND SANiTARY SEWER
ADMlAl1STRATlON
(Ref Ot•d No 113'464�565�566r 629�638,662�922�988�11114�1156,1191j
�02.5 PERMlT FEE
Prior to constructing or repair of arry wafier aF sewer line connecting the e�risting municipal system and arry hoase or building fo�which fihe
application is made,the ow�er ar contractor shafl be required to obtai�a permit for such connection,and shaii pay a permit fee as Rrovided in
Chaptsr 11 of this Code. After such connection has been made,the Wate�and Sewer Departmerrt shalf be notified. It shal(be uniawfu{to cove�
any connecting line until an inspection has been made and wch connection and the waric inciderrt thereto has been approved by�e City as a
proper artd snitable rnnnection.
402.06 REPAIRS AND MAIN'TEPlAIYCE TO COS1fMECTfON
After the initiai connection l�as been rt►ade to the water service curb stop box or the sewer fead at the properiy line or a water service{ead has
been eutended to the property line for connection,#he appticarrt,owner,or accuparrt or user af such premises shall he liable for al[repairs
required to any,erater line and sewer{ines necessary for connectian of t(te premises from the main to the premises. tf the property owner
requests mair�tenance service os repairs be performed by the CPty,the propert�awner shafl be charged for the cests of the maiMenance and/or
repairs,i�ctuding necessary street repairs at a a�ate set annually by an administrative poliry. It shaii be the respoasibility af the app4icant,
owner,occupant or user#o pecForm standard mairrtenance of the sewer service line from the premises to the main includtag debris ciearing or
root cutting and to maintain the water service curb stop box for opera6ility and at such height as wili ensure that it remai�s above the finished
grade of the land or property. (Ref 638,1156,11919