Meter Swap ` Request Number: 14311
Pu�ic Works Division
Service Request
Problem Address: 1575 Trollhagen Dr Requested By: Georgie Aro
Department: WA1ER Addresa: No address provided
Probtem/Issue: INSTALL AMR METER Phone Number: 763-571-476�
SchedMed Date: 2017-03-31 Schedeied T1me: 09:00:00
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ACTTON NEEDED:
Created by: Beth Kondrick Date Crerted: 2017-03-24
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AC'IION TAI�N: '
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Statns: In Progress Submitter Has Been r.,
Contacted
Ds�te Completed: 3 � 31.�1`7 Complated by: ����
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City of Fridiey '/�'
Water Department 5� � �� '1�0
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the C'�ty of Fridley and/or its employees to do what is necessary to
replace the wate�meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andjits employees harmless for any damages that may occur while doing this
operetion. This to inc{ude,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. {n unden�tand i am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� v
Name: �'�Y�t l� � Address_ �,�� J �r� i�t [4�^'1�w �r•
Phone Number �t9�' ��� � _ `� to l Date �' �� � ��
Si nature "�
�6 Witness Stgnature
OLD METER# 4 ` ����� 6
OLD READING �� `� � L U
NEW METER# ` I��°`�4 I
NEW READING �
ERT# � � t � � ( ��
FRfDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMIN{S1'RATION
(Ref Ord No 113,464,565,566,629,638,552,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for whid�the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of th(s Code. After such connection has been made,tfie Water and Sewer Department shall be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such connection a�d the work incident tbereto has been approved by the C'it�r as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inrtial 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 e�ttended to the property line for connection,the applicanC,owner,or occupant or user of such premises shall be liable for alt repairs
required to any water line and sewer lines necessary for cflnnecCion of the premises from the main to the premises. ff the properly owner
requests maintenance service or repairs be performed by the City,the property owaer shail be charged for the costs o�F the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the respansibility of the applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water servics curb stop box for operability and at such height as wili ensure that it remains above the�nisfied
grade of the{and or property. (Ref 638,1156,1191)