Meter Swap y Request Number: 14356
Public Works Division
5ervice Request
Problem A�ldress: 1289 Skywood Ln Requested By: Ms Mortenson
Department: WA1ER Address: No address p�ovided
Problem/Isaue: IN5TALL AMIt ME1ER Phone Number: 571�6266
Schedaled 017-04-OS ,"� Scbedeled Tlmc: 11:30:00
� 4
ACTION NEEDED:
Created hy: Wendy Hiatt Date Cre�ed: 2017-43-28
ACIION TAI�N:
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Status: Tn Progess Sabautter H�Been r
Contacted
Date Completed: Completed by:
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City of Fridley ��� � ���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3556
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is fiable for the water line frum the main to the premise and aii interior
plumbing. (Per City code 402.06� i also hold the City of Fridfey and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and service line. In understand l am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ✓ � � � �1,./
Name: r� Y�. Address � !� � '�{;�/lr� I,�YI
Phone Number�� 1� ��� Date — t��~ �
Signature 1 Witness Signature
OLD METER# �� ` ` �Z��
OLD READING �4�' I� 11C�
NEW METER# —1 - 4 LI,J �� I -!
NEW READING v
ERT# 1 ZZ �Z � � v-`
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOW
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prtor to tonstructing or repair of any water of sewer fine connecting the existing municipal system and any house or building fw Mrhkh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and tfie work incident thereto has been approved f�y the City as a
proper and suitable connedion.
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 property line for wnnectio�,the applicant,owner,or occupant or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for conne+ction 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 mat�rtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibillty of the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box fo�operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,11911