Meter Swap , Request Number: 14342
Public Works Division
Service Request
� Problem Address: 1378 Skywood Ln Requested By:
Dep�rtment: WATER Addreu: No address provided
Pro�i�m/Tssuc: INSTALL AMR METER Phone Number: 763-34tf-7465
;�iedulad Date: 2017-04-10 Sc�eduled'ISme: Y0:30:U0
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"`�1�,7ION NEEDED:
Created by: Beth Koadtick Date Craated: 2017-(?3-28
AC'IION TAI�N:
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Status: In Progress ���rtEr Has Been r
Caats�cted
I?nte Completed: � -- I(� � �,� Cempleted by: �A�/�
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• . City of Fridley `�� ����
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3556
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1/we hereby authorize the City of Fridley and/or its emplayees to do wfiat is necessary to '�
replace the water meter. 1 understand that the property owner is liable for the water line from tbe main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridfey and/its employees harmless for any damages that may occur while doing thtq.;::-
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am alw " �`�'
to obtain a permit prior to any work,if necessary. � '�
�� M,��, � -
F1NAL METER READING(old meter)
�-���O�Ce � �i �� M�:
Name• Address _ ��� � �1�—^�/ i
Phone Number L��� �� ` / /le �Date � � `v `� � �
Signature Witness 5ignature
OLD METER# V�� / ����
OLD READING �� f v/ � �
NEW METER# 1 I�0 / S� I
NEW READING �
ERT# ����� �LI�
FR{DLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTAttY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,1144,1156,1191)
402.5 PERMR FEE
Prior to construding or repai�of any water of sewer line connecting the existing municipal system and any house or building fa�which the
application 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 ii of this Code. After such connection has been made,the Water and Sewer Department sha{I be notified. It shall be unlawfui to�ver
any connecting line until an inspedion 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 CONMECTION
After the initial wnnection 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 con�ection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premisEs from the main to tfie 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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrattve policy. it shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box far operability and at such height as will ensune that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)