Meter Swap � Request Number: 14272
Public works Division
Service Request
Problem Address: 1386 Skywood Ln Requested By: Maty
Department: WA1ER Address: No ad�dress provickd
Problem/Issue: INSTALL t1MR ME1ER PLone Number: 571-15b4
Scheduled Dxte: 2017-03-29 Schedaled'Ilme: 11:30:00
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ACIION NEEDED:
Crented by: Wendy Hiatt Date Cre�cd: 2017-Q3-23
ACIION TAI�N:
1,�.��1 �1`'i,'�,
Status: 1n Progress Sabmitter Has Been r.
Co�acted
D�te Completed: Completed by:
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City of Fridley �� �� �`�`
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/�+e hereby authorize the City cf Fridley and/or its employees to do what�S necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and ali ir�terior
plumbing. (Per City code 402.06) 1 also hold the Ctty of Fridley andjits employees harmiess for any damages that may ocau while doing ffiis
operation. This to include,but not limited to valves,piping,walls,floors or tfie curb stop box and service line. tn understand i am also re�ired
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG(old meter) � � l�� �
Name• �" WlJ Address Y� CJ'V � �-�'1
Phone Number�� � ��� { Date ���— I�
Signature Witness Signature
OLD METER# _ � f� 1 - 1 � Z��
OLD READING � �Z� 1 1� V
NEW METER#�� � �� � �
NEW READING_�
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ERT# � I�Q� � ��
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 coestructing or repair of any water of sewer line�nnecting the existing municipal system and arry ha�se or building for whidt the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shafl pay a permii fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shaN be uniawful to cover
any connecting line until an inspection has been made and wch 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 co�nection 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 line for connection,the applicant,owner,or ocwpant or user of such premises shali be liable for all repairs
required to any water Ilne and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C'rty,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set aanuatly by an administrative poliry. It shail be the responslbility of the applicarvt,
owner,occupant or user to perform standard maintenance of the sewer se�vice fine from the premises to the main includiag debris 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
grede of the land or property. {Ref 638,1156,1191j