Meter Swap .
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Request Number: 14840
Public Works Division
Service Request
Problem Address: 136 Panorama Ave Requested By: Matchew
Departmeut: WATER Address: No address p�ovided
Problem/Isaue: INSTALL AMR METER Phone Number: 952-807-Z999
Scheduled e 2017-04-2 � eduled 1lme: 08:00:00
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AC'IION NEEDED:
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` Cres��l by: Wendy Hiatt Date Created: 2017-04-20
ACIION TAI�N:
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Status: 1n Progress ' Snbmitter HAs Been r s� :�.
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Date Completed: ���f.....�� ' Completed by:
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City of Fridley
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 neassary to
repiace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all i�erior
plumbing. (Per City code 402.06) I also hold the C'�ty of Fridley and/its employees harmless for a�ry damages that may oaur while dar�this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. i�understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_ ���l(J LJ �/`�
Name• ����'v V`� Address I��P �a-�(�U'Gl.��.
Phone Number L��` ��� ���� Date ���� � � `
Signature Witness Signature ��
OLD METER# ���v ��'� (
OLD READING v � �"��
NEW METER# ���� ��� I
NEW READING v
ERT# ������D � -
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 wnoecting the existing municipal system and any house or buildir�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 provfded in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any 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 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 servke lead has
been extended to the property line for connection,the applipnt,owner,or occupant or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property a�vner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibillty of the applicaM,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding deb�is clea�ing 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)