Meter Swap �
- Request Number: 14276
Public Works Division
Service Req�st
Problem Address: 1460 Trollhagen Dr Requested By: Marlene Black
Department: WA1ER Addresa: No address provi�d
Problem/Issue: INSTALL�ME1ER Phone Number: 763-571-0474
Scheduled Dsitc: 2017-03-30 Sc6ednied'T[me: 01:30:00
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ACTION NEEDED:
Created by: Beth Ko�rick Date Created: 2017-03-23
ACITON TAI�N:
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Statas: �n Progcess Sn6mitter I�aa Been r
Co�acted
Date Completed: � ,- �� —� I� Completed by: C���
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City of Fridley ��� � � t � '�
Water Department
5431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is nec�ssary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all inte�io�
plumbing. (Per City tode 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may axur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. la u►�deerstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� �" � I � �
Naene• I'"�-[ Ir . h,�� ��1�- Address_ ��W� �rD � �G.G��'1, r•
Phone Number ��3� d r l` d !�� p�e J — �(� " ��
Signature Witness Signature `�
OLD METER# l� � ����1�/
OLD READING 3 9�� l �a
NEW METER# � ` ���� ��
NEW READING U
ERT# � � ` 0� � � I l0
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing munitipal system and any house or building for which the
appiicatlon is made,the ow�er or contrador shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department sfiall be not�ed. it shall be unlawful to rnver
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property 17ne or a water sErvic$lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises st�all be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property a�rner
requests maintenance service or repairs be perFormed by the City,the properly owner shalf be charged for the costs af the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
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 service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)