Meter Swap Request Number: 14547
Public Works Division
Service Request
Problem Address: 14'70 Trollhagen Dr Requested By: Mrs Majerle
Department: WA'IER Address: No address provided
Problemllssue: INSTALL AMR METER Phone Number: 5�2-8879
Scheduled Date: 2017-OS-01 Schedaled Tlme: 07:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Dxte Created: 2017-04-06
ACTION TAI�N:
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Status: In Progress Submitter Has BeeH C,
Contacted
Dxte Completed: Completed by:
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Cityof Fridley '�/`� ���
Water Department �v G.��
6431 University Avenue NE ✓
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City af Fridtey and/or its employees to do what is necessary 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 interio�
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages tha!may oaUr white doing this
operation. 'This to include,but not limited to val�s,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.
FiNAI.METER READING(oid meterJ_ ��� �� �
e
Name: �r� , 1 `�1 PiY'�,� Address I�� O ��'�'`l""1-�'� �r'
Phone Number �� �� L�a��� Date �� � ' �
Signature Witness Signature
OLD METER# � �� i" �� I�-'
OLD READING ��� ��`_�(J
NEW METER# �U�Q � � O �
NEW READING_ _\r D
ERT# � ( � Z..�� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662.922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstruding or repair of any water of sewer line conneding the existing municipal system and any house or building for wfiich the
application is made,the owner or contractor shall be�equired to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After wch connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting{ine 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 connection.
402.06 REPAIRS AND MAIN7ENANCE TO CONPIECTtON
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property liee or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises sha{I be liabie for aN repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,the property owner shall 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 respo�sibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to mairrtain 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)