Meter Swap Request Number: 14457
Public Works Division
Service Req�st
Problem Addreas: 1326 Skyvwod Ln Requested By: Steve Bates
Departme�: WATER Address: PIo address provided
Problem/Issue: iNSTALL AMR METER Phone Namber: 218-349-9569
Scl�daled Date: 2 17-04-14 Sc6ednled 11me: 08:00:00
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ACIION NEEDED:
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Created by: Beth Kotxhick Ihtte Cres�ed: 2017-03-31
ACTION TAKEN:
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Statass In Progress Snbmitter Has Beea �, :z s;",
Contacted
Date Compieted: �..(,� I�� �� Completedby: C ,��
Honrs � JC`
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the Clty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owne�is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may occur while dofng this
operation. This to inciude,but not limited to valves,pipi�g,walis,floors or the wrb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READlNG(otd meter) � ��✓ � ` �
Name: �i�e ��#G� Address ���� 51�-�/�3GCJC� W 1�
Phone Number ��� � ✓ 1 l _ !✓� l Date L � ' � V l�
Signature Witness Signature
OLD METER# V G ! �V 4 V
OLD READING ���� � t O
NEW METER# � qaa �`� � '�
NEW READING b
ERT# l ���� � I 1
FRIDLEY CITY CODE
CHAPTER 442.WATER,STORM WATER ANO SANITARY SEWER
ADMlNISTRATION
(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 buiidi�irn which ihe
application is made.the owner or contractor shafl be required to obtain a permit for such connection,and shall pay a permit fee as providetl in
Chapter ii of tfiis Cade. After such connection has been made,the Water and Sewer Department shatl be not�ed. It shali be uniawful to cover
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitabfe connection. �
402.06 REPAIRS AND MAINTENANCE TO CONNEC7'ION �
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 fias
been extended to the property line for connedion,the appiica�rt,owner,or occupant or user of such premises shall pe liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ovrner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appltcant,
owner,occuparit or user to perform standard maintenance 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 for operebility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)