Meter Swap - Request Number: 14263
Public Works Division
Service Request
Problem Address: 1453 Trollhagen Dr Requested By: Roxanne
Department: WA1ER Address: No�kess provided
Problem/Isane: INSTALL AMR ME'lER Phone Number: 612-281-8497
Scheduled Date: 2017-03-29 Schedaled 1lme: 11:30:00
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ACTION NEEDED:
,
Created by: Beth Kandrick Date Created: 2017-03-22
ACTION T.�I�N:
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3tatus: In Progress 5ul�mitter HAs Beea r
Coetacted
Date Compieted: 3„�,� ,._.�"'� Completed by: r���
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley andjor its emploYees to do what is neoessary to
replace the wate�meter. 1 understand that the property owner is liable for the water li�e from the main to the premise and all iMerlor
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmiess for arry damages that may ocwr vrhile doing tfiis
operation. This to inc{ude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) D�� � ��
Name: ""�E�U�• Address �� ✓ �� �'•
Phone Number ��Z'���y�� l � Date � � v_�— ��
Signature Witness Signature �
OLD METER# '` " ����v D�
OLD READING ��- t � �d
NEW METER# � !��J � � ��
NEW READING d
ERT#_ t � `� � � `"�O
FRIDI.EY CITY CODE
CHAPTER 402.WATER�STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord NO 113,464,565,5fi6,629,638,662,422,988,1144,1156,1191j
402.5 PERMR FEE
Prior to wnstructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
applicatfon is made,the owner or contractor shall be required to obtain a permit for such co�nedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connectio�has been made,the Water and Sewer Department shall be notified. It shall be uelawful to w�
any connecting line ur►tit a�inspection has been made and such connectian and the work incident thereto has been approved by the Citr as a `
proper and suitable connedion. `
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property ITne or a water service kad has
been extended to the property line for connection,the applicant,owner,o�occupant or user of such premises shall be tiable for ali repairs
required to any water line and sewer lines nesessary for wnnection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner sfiali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility ofi the applicarrt,
owner,occupant or user to perform standard mai�tenance of the sewer service line from the premises to the main including debris dea�ing 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 finished
grade of the land or property. (Ref 638,1156,1191)