Meter Swap . Request Number: 14257
Public Works Division
Service Request
Problem Address: 1288 Skyvwod Ln Requested By: David Mollers
Depnrtment: WA'IER Ad+dress: No address ptovided
Problem/7saue: INSTALL AMR ME1ER Phoae Nwnber: 574-0188
5c�eduled Date: 201?-fl3-28 Sc�edgle�d T1nu: 08:30:00
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ACIION NEEDED:
Cre�ted by: Wendy Hi�tt Date Created: 20l?-03-22
ACIION TAKEN:
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, City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley andjor its empioyees to do what is oe�ssary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hoid the City of Frldley andjits employees harmless for arry damages iMat may oowr whi4e doing this
operation. Thls to include,but not lim�ted to vahres,piping,walls,floors or the curb stop box and service line. in undersWnd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(ok!meter) ���"' ��O
Name: �Gv�1'G(� ��[� Address ��� ��'�j 1+�J'pCT� �VL .
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Phone Number ��� ' d�D i7 Date � ��� _� L
Signature Witness Signature ^
OLD METER# r 1� � 1 G J� �
OLD READING
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NEW METER# � -
NEW READING �
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FRIDLEY CITY CODE
CHAPTER QU2.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(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 Iwilding for which the p
application is made,tfie owner or contractor shall 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,the Water and Sewer Department shafl be notified. It shall be uelawful to cover
any conneding line until an i�spection has been made and such connection and the work incident thereto has been approved by the City as a
proper and sultable co�nedion.
402.06 REPAIRS ANO MAlNTENAPICE 1'O CONNECTION
After the initial connection has been made to the water senrtce curb stop box or the sewer lead at the property Itne or a a�rater senrice lead has
been extended to the property fine for wnnection,the applicant,owner,or ocaiparrt or user of such premises shall be liable for aif 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 shali be charged for the costs of the msirrtenanc,e andjor
�epairs,including necessary street repairs at a rate set annually by an adminimative poliry. It shall be the responsibility of tfie appiicant,
owner,occupant or user to perform standard mafatenance of tfie sewer service line from the premises to the main including debris dea�ing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the fi�ished
grade of the land or property. (Ref 638,1156,1191)