Meter Swap . Request Number: 13336
• Public Works Division
Service Request
Problem Address: 6040 Woody Ln Requested By: Walt Liudeman
DepArtmeat: WA'IER Address: 6040 Waody Ln
Fridley,MN 55432
Problem/Isaue: INSTALL AMRMETER Phone Number: 763-571-9295
SkhMuled Date: 2017-02-13 Schednled 11me: 08:30:00
I�YI.�n t `'�` . 3
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AaCRON NEEDED:
Created�jr: Beth Kondrick Date Crerted: 201�-02-0�
ACTION TAI�N:
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Status: 1n Pro�css Sabroitter H�Been r
Contacted
Date Compieted: Completed by:
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ir1/a�ea��De�sar�a�nen� y��
�431�Dniv�rsii��4�renue NE S� � �"'�'�
F�adtey,NlP1 55432 ,
753-.5?2-3566 �� � - � `� � � �l�� - L.% I
',U°� her�eby authorize ttae�ifiy af Fridley andJor its empioyees to s!o what 6s necessary ta
replace the water meter. �c�nderstand that the propea�ty owner is tiabte fos the avater line from the main to the premise and all enierior
plumbing. (P+er City toafe 402.06j i also hold the�itq t+f Ecidiey andits emplayees harmless for ar�y damages tftat may occur while doing this
oper,aYion. This Lo ancfude,bufi not lim'rted to valves,giping,walts,�loors or�he s:urb stoP box and service line. In�understand!am also requi�
to obtain a perenit prior#o any ierar9c,�f necessary.
FINAL METER READi1YG(o1d mefier) _ 1 � � � ! ��
A[ame• �� �( Y���t, r� ` Address � ��/l
Phone Humber !������' I�j L J pate �� (�._ ��
Signature__ Wftness Signature
OLD METER#__� 1 Z� � J Z4J
OLD READtNG �'I � � � � tp�
NEW METER# -1 L��D ��5�
IVEW READIRIG �
ERT# � � �, �V� � .
FRIDLEY CITY CODE
CHAPTER 402.WATEK,5;7'pRM WATER AtYD SANITARY SEWER
ADMf9NlSTRATlON
(Ref Ord No iZ3,�,565,566,629,638,662,922,988,1144,1155,1191j
402.5 PERMIT FEE
Prior to�onstructing or repair of ar�y water of sewer fine connecting the e�cisting municipal system and arry hause or but[d[r�for wh�ch the
app4'scation 9s made,the owner or comxactar shail be required to obtain a permit for such cannection,and sf�alt pay a permiT�Eee as�rOvided in
Chapter 11 of this Code. After such connection hes been rnade,tt�e Water and Sewer Depa�tmer+t shall be noti�fied. it shafl be uniarvFul to covE
aray conneding line ur�tit an inspection has been made and such connection and the worlc inciderrt there�to has been approved by the Crty as a
proper and suitable connection.
40Z.06 REPAiRS AI�[D MAINTEt11AfNCE TO CONNECTfON
After the initiai connection has been made to the water service curb stop box or the sewer fead at the property iine or a water service iead has
been eutended to the property line for connection,Che applicarrt,overner,or occuparrt or user of such premises sf�aft be ilable for aIl reRairs
required to any water line and sewer lines necessary for sonnection of the premises from the main to the premises. tf the property owner
requests mairrtenance senrice or repais�s be perFormed by the C'ity,the property awner sha0 be charged for the costs of the mairrtenance and(a
repairs,including necessary street�epairs at a rate set annually by an administrative poliry, it shal!be the responsibility of the apqlicart#,
owaer,occupant or user to perform standard mairrtenance of the sewer service li�e from the premises to fihe main ar�du��debris dearing or
rvot�utting and to mairrtain the water service curb stop box for operability and afi such beight as wiil ensure thaC it remait�s a6ove the$nisfied
grade of xhe land or properly. (Ref 638,1156,1191)