Meter Swap ..
� Request Number: 14284
Public Works Division
Service Request
Problem Address: 1258 Skywo'od Ln Requested By: Karen Niznick
Department: WA1ER ,,��.eSg; 1258 Skyvwod Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER P6one Number: 763-572-1426
Scheduled Date: 2017-04-06 Schednled'Ilme: 09:00:00
t�t 1 �
ACTION NEEDED:
' Created by: Beth Kom�rick Date Created: 201?-03-23
ACITON TAI�N: �
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Status: In Progress Submitter Hae Been r
Contacted
Date Completed: �_,�-- I � Completed by: �a(� �
Hours
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City of Fridley Ej�-� ���1
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/�+e hereby authorize the�ty of Fridley and/or its employees to da what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all itrterior
plumbing. (Per City code 402.06) 1 afso hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this
operatian. This to include,but not limited to vaives,piping.walls,floors or the curb stop box and service fine. In understand I am also required
to obtain a permtt ptios to any work,if necessary.
FIPIAL METER READING(ofd meCer) ���� (/� V
Name: ��'Q� ��4 �h,�r��f^Address ��� �.t��� �,-
Phone Number ���� � l�' �"1�� Date ��`�'�� � �
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Signature Witness Signature
OLD METER# { - ! Jb`'� !�,)
OLD READfNG b� �� �/�
NEW METER#
� ��.� � �ag r
NEW READING �
E�# �1aaa3157
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WA7ER 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 connecti�g the existing municipal system and any house or building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permit iee as provided in
Chapter li of this Code. After such con�ection has been made,the Water and Sewe�Department shall be notified. h sha{f be uniawful to cover
any wnnecting line until an inspedion has been made and wch connection and the work incident thereto has been approved by tfie City as a
proper and suitable connection.
402.06 REPAIRS AN�MAINTENANCE TO CONNECTION
After the initiai 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 connection,the applicant,owner.or occupa�t or user of such premises shall be liable for afl repairs
required to any water line 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,tfie 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 administretive poticy. It shall be the responslbility of the appliqnt,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting a�d to maintain the water service curb stop box for operability and at wch height as wiN enwre that it remains above the flnished
grade of the land or properly. (Ref 638,1156,1191)