Meter Swap , ^ Request Number: 12685
Public Works Division
Service Request
Problem Address: 1410 Trollhagen Dr Requested By: Christopher Zuidema
DepartmeM: WATER Address: No addresa provi�d
Problem/iseue: INSTALL AMR ME'lER Phoee Number: 612-245-9247
Scheduled Datec 2017-Oi-03 Schednled 11me: OS:OO:�U
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ACTTON NEEDED:
Created by: Wendy Hiatt D�e Created: 201'7-01-03
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Status � In Progcess Submittar Hu Beea r
Coaticted
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Date Ca�opleted: Compteted by:
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Hiatt, W�ndy
Subject: Christopher Zuidema, ph#612-245-9247,AMR Install
Location: 1410 Trollhagen Dr NE
Start: Fri 1/1 3/201 7 8:00 AM
End: Fri 1/13/2017 8:30 AM
Show Time As: Tentative
Recurrence: (none)
� Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt,Wendy
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City of Fridiey `� �,, �� �;�- � �,�-��-'
WaterDepartment � �_����,.��..�
6431 Univers+ty Avenue NE �.� �
- � Fridley,MN 55432 �- �
` 763-572-3566
�Iwe hereby authorize the City of Fridley andfor its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail ir�terior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors nr the curb stop box and sQrvice line. lo understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � � �� `�'
Name:_��V 1 C�� ��)t F �_ Address � � V \ r
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Phone Number � V' � p� �'�`��
Si nature �tness Signature _..
OLD METER# �� � �
OLD READING � (Z�5 �"v
NEW METER# _ 1��` ��� 1
NEW READING `�
ERT# ���Z
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638.662,922,988,1144,1156,1191)
dQ2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer ilne connecting the existing municipai system and arry house or building for whkh the
application is made,the owner or coirtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Wate�and Sewer Department shall be notified. It shall be unlawful to cover
any connecting fine until an inspection has been made and such connectio�and the work incident thereto has been approred by the City as a
proper and suitable con�ection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC7tON
After the initial connection has been made to the water senrice curb stop box or the sevrer lead at the property line or a water sewice tead has
been extended to the property line fo�connection,the appl'�cant,owner,or occupar�t or user of such premises shaii be 1'�abie for all repairs
required to any water lirte and sewer lines s+ecessary for connection of the premises from the main to the prem'ises. ff the property owner
requests maintenance serxice or repairs be perFormed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the responsibillty of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the matn includir�g debris dearing 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)
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