Meter Swap �
s Request Number: 15099
Public works Division
Service Request
Problem Address: 213 Panorama Ave Requested By: Kimberly
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR ME'IF.R Phone Number: 763•600-9063
Sc6edui 2017-OS-04 5chednled T'Ime: 11:00:00
� `� I'�
ACTION NEEDED: �
Created by: Wendy Hiatt Date Created: 2017-OS-02
ACIION TAi�N:
V
Status: In Progress Snbmitter HAs Been �
Contacted
Dnte Completed: Completed by:
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Ci of Fridle
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
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all inte�lor
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur 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(old meter)�i�,Jr�� � �/
Name: ��' �"'`� Address �� c� f GtX�b'(Zi�y'1'1�, ft-i 1Q.
Phone Number���^1V�JQ—��J�ate_J � � ' 1
Signature ` Witness Signature
OLD METER# I�O� v�� �
OLD READING ��� ���
NEW METER# �i���� � �/
NEW READING O
ERT# � � �� �� ��
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 tine connecting the existing municipaf system and any house or buiidirqs for whkh the
application is made,the owner or cor�tractor shall be required to obtain a permit for such con�ection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connettion has been made,the Water and Sewer Department shall be notified. It shali be unlawful to wver
any connecting line until an inspection has been made and such wnnection and the work inadent thereto has been approved by the City as a
proper and suitable connection.
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 seroice lead has
been exte�ded 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 property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includi�debris clearing or
root cutting and to maintain the water service curb stop box for operability and at suc6 height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)