Meter Swap ` Request Number: 14541
Public Works Division
Service Request
Problem Address: 1306 Skywood Ln Requested By: L�ua
Departme�: WATER Adddress: No a�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-382-5933
Sc6ednled D tq 2017-04-12 Schednled 1lme: 10:00:00
� ���
ACIION NEEDED:
Crested by: Beth Kondrick Dxte CresKed: 201'7-04-05
ACTION TAKEN:
� V�-��,`� �.��
Status: jn Progress Sabmitter Has Bee� r
Contacted
Date Completed: Completed by:
� /I�� I� � ���
�
. � � 2�C �" ��'� ��� ���
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 ts necessary to
repiace the water meter. i understand that the property owner is liable for the water fine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may oaur while ddng this
operetion. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to arry work,ff necessary.
FINAL METER READING(old meter) �' � � ���
Name:�it�1N�� Address ` �/v� � � ��� �-�I 1
Phone Number��� ��� ��J Date � ' 4� ��
Signature _ \ Witness Signature
OLD METER# � � �J � f G �
OLD READING �1 � � "�I �O
NEW METER# �� � ,� ` � ?�
NEW READING �
ERT# ��Z (��� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1155,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for avhich the
application is made,the owner or contredor shail be required to obtain a permit tor such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connedion has been made,the Water and Sewer Department shalt be notified. It shall be un4awful to cover
a�y connecting line untii 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 service lead has
been extended to the prvperty line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water li�e and sewer lines necessary for conneetion 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 shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from tfie premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remairts above the ftnished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 7497
Public Works Division
Service Request
Problem Address: 1306 Skywood Lane Requested By: Laura Moss
. Department: WATER �idress: No address provided
Problemllssue: FR07FN WAIER SERVICE Phone Number: 612-382-5933
Scheduled Date: 201402-12 Scheduled Time:
ACTION NEEDED: Frozen water service, please call her. Gave customer Ende Septic's phone nurr�er.
Created by: Jeannie Benson Date Created: 2014-02-12
.ACTION TAKEN:
,.--- , .... `'�—� .
_.........:............................................................................._1.....�.':.��'�.........._�`.............................._�..................... ...._�b`�:..._F:t7�7 i...��...:............................................___.....................
, . ..... !�`��i._
..... .. ..:............._��...__.:_��.........��:tZ�S......_C�:R��.........................�....................................................................._....................._...._ -
.... ............... �
........................................................................................................................................................................................................................................................................................................................................................................................w......................._......
_.................:.........................................................................................................._...._......................................................................................................................................................................................................________....�._..._:......._.._........._.
_.................................................................................................................................................................................................................................................................................................................................................................................................._...................._
......................................................................................................................................................................................................................................................._............................................................................................................_............................................_....
Status: In Progress Resident Contaated ❑
Date Completed: Completed by:
Hours
' c�-��— ��
� �