Meter Swap � Request Number: 14271
Public works Division
Service Request
Problem Address: 1538 Trollhagen Dr Requested By: Scott Black
Department: WATER Address: No acidress provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-238-1673
Scheduled Ds�te: 2017-03-30 Sc6ednled 1lme: 1D:00:00 �
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AGTION NEEDED:
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Created by: Beth Konchick Date Created: 2017-03-23
ACIION TAI�N:
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Stataa: In Progcess Sabmitter Ha�Been r,
CoMacted
Date Completed: Completed by:
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. City of Fridley � � � 1C��
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
��We bereby authorise the City of Fridley andf or its employees to do 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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oc�r while doing this
operation. This to include,but not limited to valves,piping,walls.floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FfNAI METER READING(old meter) �� �S �� �
Name:�_ _ �1�E� Address � ✓ C� 1 � U 1� 1c/1�
Phone Number �1"���_ ��� Date � U� ��
Signature ��-�� Witness Signature
OLD METER# I h2� � l �6 l
OLD READING ���� Z�CJ
NEW METER# —I� O�/?i JO�
NEW READING V
ERT# � � �� r � t�ll
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER 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 arry water of sewer iine connecting the exlsting municipal system and any house or building for whkh the
appitcation is made,the owner or corrtractor shall be required to obtain a permit for wch connectto�,and shall pay a permit fee as provided in
Chapter ii of this Code. After sucfi connection has been made,the Water and Sewer Departme�t shall be�ot�ed. It shall be unlawfuf to co�rer
arry connecting iine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable cannection.
402.06 REPAIRS AND MAINTENANCE TO CONNECT{ON
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 occvpant or user of such premises shall be liable for all repairs
requi�ed to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property�rner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliwrrt,
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 matntain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)