Meter Swap Request Number: 14642
Public Works Division
Service Request
Problem Address: 1370 Skywood Ln Requested By: Larry
Department: WATER Address: 1370 Skywood Ln
Problem/Issue: INSTALL AMR METER Phone Number:
5cheduled Date: 2017-04- 8 Scheduled Time: 02:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-12
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A�TON TAI�N:
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Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
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City of Fridley Z
Water Department n� �`�� �
6431 University Avenue NE SU
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its emp{oyees to do what is 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 interior
piumbing. (Per City code 402.06) 1 also hold the City of Frid{ey andjits employees harmless for any damages that may occur whtle do(ng this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop 6ox a�d service line. In undersWnd 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)_S/ .1 �� ��
Name: '�'� `� vl Address � � 1��
PhoneNumber Date_ _ — 1�' d.�r (�
Signature Witneu Signature �
OLD METER# � �� 1 ��� � ,
1 ( l C%c,���✓� _ �,�, Q7
OLD READING lJ-1 � t � EJO ' S �..�-��ryLs"""S.
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NEW METER# ��� ��� �
NEW READING O .,,
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FRIDLEY CIT1l 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 constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to wver
any connecting iine 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 connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water iine 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 shaN be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set anrivally by an administrative policy. It sha0 be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)