Meter Swap .
!
Request Number: 15173
Public Works Division
Service Request
Problem Address: 172 Panorama Ave Requested By: Mr Davis
Department: WATER Address: No address provi�d
Problem/Isaue: INSTALL AMR METER Phone Nwnber: 763-516-7359
Schednled Dat • 2017-OS-12 Schednled T1me: 02:OO:OU
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crented: 2017-OS-OS
AC7ION TAi�N:
____���`: .��.__.___
Status: In Progress Snbmitter Has Been r.,
Co�uted
Date Completed: Compieted by:
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City of Fridley ��
Water Department C ����
6431 University Avenue NE �� ��
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of F�idley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) ,`�� � ���
Name: �� �1� Address �� L► ` �1•����M 0�. �ll-e-
Phone Number ���`�� I�p—����Date � � V�� ��
Signature Witness Signature
OLD METER# I���� '�7 � ��
OLD READING �� � ( ��4
NEW METER# ���� � 2�'�
NEW READING �
ERT# � � �` �I���
FRIDLEY CITY CODE
, CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM(NISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or rppair of any water of sewer line connecting the exlsting municipal system and any house�buildir�g for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
a�y connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 service lead has
been extended to the property(ine for connection,the applicant,owner,or occupant or user of sucF�premises shall be liabte for ait repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property 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 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 main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)