Meter Swap r
' Request Number: 15245
Public works Division
Service Request
Problem Address: 100 Panorama Ave Requested By: Joyce Cole
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 651-466-5564
Scheduled te: 2017-05-19 Sc6ednled 1lme: 09:00:00
�
� ACITON NEEDED:
Created by: Wendy Hiatt Date Greated: 2017-OS-09
AC'IION TAI�N:
�:..�-5.�- C (��._. �'�-��--
______..._. _....._.._...._. . _��_. __....__....___...._._ .. _
___...__.__...................._........._____.........____.._.. ._._...._.....__._... __....�...._._.__. ......_....._..__......_.___.._ _...__ �
�..._..._..____......._...............__._.......__..�._..................._...�...._.__....._..........._......._.._ . _".__....._.......__.._. ....................._.._....__._.___ .._......_. ^-��--"'9�"F5
Y�.
Status• In Progress Sabmitter Has Been �, �.,
' Contacted
Date Completed: �� I q ,�. � � Completed by
I ,��,��
�
ld� - �53� 3d �d 2�
. � City of Fridley � � u I S 2
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the propeRy owner is Itable for the water line from the main to the premise and all inte�ior
plumbing. (Per City code 402.06] I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to include,but not limited to vafves,piping,walls,ftoors or the curb stop box and service tine. in understand 1 am aiso requlred
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �� 1 lV v�- �
Name:_�1 0�./C�� w � �(J►�I�CJ��C�V1/LC.� ��.
�d� lU
Phone Number ��I� `�"��ll�� Date � ~ � t � 1.�
Sig�ature Witness Signature !_
OLD METER# V O�/�_�
OLD READING ���� lll�
NEW METER# I � "�(/�VJ � �
NEW READING �
ERT# ` � ` � �� � 1
FRIDLEY CITY CODE �
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or contractor shail be required to obtain 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,ihe Water and Sewer Department shali be not�ed. It shall be unlawful to cover
any conneding line until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS APIQ MAINTENANCE TO CONNECTION
After the initial rnnnedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the propertr owner
requests maintenance service or repairs be performed by the City►,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrati�re poliry. It shall be the responsibilityr of the applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main includi�debris clearing or
root cutting and to maintain the water service wrb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or propertyr. (Ref 638,1156,1191j