Meter Swap �
= Request Number: 15365
Public works Division "
Service Request
Problem Address: 112 Panorama Ave Requested By: Peter Kruger
DepartmeaE: WATER Address: No a�ress p�ovided
Problem/Isaue: INSTALL AMR METER Phone Namber: 571-5566
Scheduled Date: 2017-0�-19 1 Sc6ednled 11me: 07:00:00
, d /1/1
AC'iTOi'�T NEEflED:
Created by: Wendy Hiatt Date Cre�ted: 2U17-OS-16
AC'IION TAi�EN:
......_..._......................_.._...._..._._.._............___.�-�!'�`���'��__...._._....�._.�����...___._.—__.__.._.. �
Status: � In Progress Sabmitter Has Been r,
Contacted
D�te Compteted: � _ I � — (� Compieted by: `���
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« City of Fridley � � � � S �
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-5T2-3566
��We hereby authorize the Gty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that tf�e property owner is liable for the water line from the main to the premise and all inberior
plumbing. (Per City code 402.06) I also hold the C'�ty af Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to indude,but not limited to vahres,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permtt prior to any work,if necessary.
FINAL METER READING(old meter) `_ I �'" � �"�
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,�: 11 Pc�v� rc,�,w�.�. � 1'L��e v' 1Lr�,�c,e�
Phone Number �� � � ���� Date �� ( L` � /
Signatare Witness Signature
OLD METER# V� � ��� �C�
� OLD READING ���� ���
NEW METER# I 1 �`�� I � 1
NEW READtNG a
ERT# 4 � I A�v�
FRIDLEY CITY CODE `
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CHAPTER 4Q2.WATER,ST'ORM 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 any house or buildir�for whith the
application is made,the owner or contractor shall be required to obtai�a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notffied. k shall be unlawful to wver
any connecting line until an inspedion has been made and such connection and the work incident thereto has been appro+red by the City as a
proper and suitab(e connection.
402.06 REPAIRS AND MAINTENANCE TO CONPIECTION
After the initfat conrtection has been made to the water service wrb stop box or the sewer lead at the property line or a wrater service iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properly owner
repuests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mafrKenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility oF the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the mafn including debris c(earing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)