Meter Swap - Request Number: 14351
Public Works Division
Service Request
Problem Address: 1268 Skywood Ln Requested By: Yun Ho Lee
Department: WA'lER Address: No address provided
ProblemJZssue: INSTALL AMR METER Pho�Number: 763-571-6903
Schednled Date: 201?-04-44 Sc6e�led Time: 10:30:00
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ACIION NEEDED:
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Crested by: Beth Koixtrick Date Cre�ted: 2U 1'7-03-28
ACIION TAI�N:
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Status: In Progress Sabmitter Has Been r, ,
Coetacted
Date Compteted: �_ � ,�{� Completed by: ��t f �O
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, City of Fridley J(`'� �'7j' 3(Q
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/we fiereby authorize the City of Fridtey andjor its employees to do whart is�ecessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,wafis,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.
FINAL METER READING(old meterJ �� � � �l/
Name:_ 6��, �� ��L Address �(J""' V 5 rV � � -
Phone Number ���^ �� 1 ���� Date +� - ` ��
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Signature Witness Signature ""� �
OLD METER# � r�V� � � � ��� � �� I�7� /
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OLD READING_ C�O C� ,�
NEW METER# � `�� / { �O
NEW READIWG �✓
ERT# � ��� �U�U
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINISTRAT{ON
{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 munictpal system and any house or buiiding for wh(ch the
appliwtion is made,the 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 shall be notified. It shall be unlawful to�ver
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 suitabie connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke le�has
been extended to the property llne for connectfon,the applicant,owner,or occupant or user of such premises shall be Ifable 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 performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the appltwr�t,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wili ensure that it remains above the ftnished
grade of the land or property. �Ref 638,1156,1191)