Meter Swap � Request Number: 14255
Pubtic Works Division
Service Re�st
Problem Address: 1344 Skyw�nod Ln Requested By: Mr Edwards
Depxrtment: WATER Address: No�ess provided
Problem/lasue: IN5TAL,I,AMR METER Phone Number: S�i-4935
Scheduded Date; 2017-03-30 � Scheduled'Ifmc: 10:00:00
� � � �
AC'IION NEEDED:
Crested by: Wendyr Hiatt Date Created: 201�-03-Z2
ACIION TAI�N:
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St�us: In Pro ss Snbmitter Haa Bten r
� Co�acted
Ds�te Completed: � � �"-y Completed by:
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City of Fridley S� �- ����
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/�e hereby authorize the City of Fridley 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 all interior
plumbing. (Per�ty code 402.06j 1 also hold the City of Fridley a�d/its employees harmless for any damages that may ocu�r while doing this
operation. This to inciude,lwt not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FtNAI METER READiN6(old meter) 4 � �� ��� �
Name: 1"�r� �W O-��%� Address ��-1�`L s1�y w�acTd- ��
Phone Number J, t '' � 1 �� Date_ � � �J B' V�
Slgnature Witneu Signature
OLD METER# �310 7�g�
OLD READING L 1 �� � t �
NEW METER# � 1��!J �� � �
NEW READING �
ERT# � l�l�1 � a �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAMITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer Nne connecting the existing municipal system and any house or building for which the
apptiwtion is made,the owner or coritrattor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Cade. After such connection has been made,the Water and Sewer Department shall be�ot�ed. It sfiall be unlawfui to cover
any cannecttng 1'sne until an inspection has been made and wch connection and the work incident thereto has been approved by the Ciiy as a
proper and suitab{e co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC7'IOAI
After the initial connection has 6een 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 appiicant.ow�er,or occupant or user of such premises shall be liabte 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 owner
requests maintenance service or repairs be periormed by the City,the property owner shail be charged for the costs o#the maiMenance andjor
repairs,including necessary street repairs at a rate set annually by an adminimative poiicy. It shail be the responsibility of the appliqnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing o�
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 finished
grade of tfie land or property. (Ref 638,1156,1191)