Meter Swap Request Number: 14306
Public Works Division
Service Request
Problem Address: 1541 Trollhagen Dr Requested By: Carol Krauly
I?epartment: WA'IER Address: No a�ress pcovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-9492
Sc�edWed Date: 2017-04-03 Schednled Time: l 1:30:00
,('cal. t �
ACIION NEEDED:
Created by: Bcth Kondrick Date Cre�ed: 2017-03-24
AC'IION TAII�N:
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Status: In Progress Snbmitter Has Been r.
Co�rtncted
thte Completed: � _. � _'`� Coe�eted by: 1 ��
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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 and/or its employees to do what is ne�ssary to
replace the water meter. f understand that the property owner is liable for the water Ilne from the main to the premise and alf iriterior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andjits employees harmless for any damages that may cca�r while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and senrice line. In ur�derstand I am aiso required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) � � ��V�v D
Name: �__ L'� Address � � ���� �
Phone Number f't-C� �� �Date _ �" [1 v �`�
Signature Witness Signature �''
OLD METE �✓� � �/ �
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OLD READING G J� �t/��
NEW METER# �f q� 81 ��
NEW READING �
ERT# ���I ! � I t�'`�
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 constructing or repair of any water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the owner or contrador shall be required to obtain a permit for wch connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notjfied. It shall be u�{awful to cover
any connecting line until an inspection has been made and wch wnnection and the work incident thereto has been appro�red by the City as a
proper a�d suitable connection.
402.06 REPAIRS ANO MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water serWce lead has
been extended ta the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connectlon 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 shail be charged for the costs of the maintenance and/or
repairs,inciuding 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 mairrtenance of the sewer service line from the premises to the main induding delxis clearing or
root cutting and to maiMain the water service wrb stop box for operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request for Senrice Report
City of Fridley
R eference N o: 601-11-2873 D ate: 03I01!11
Request Type= Turn waker oFF�on Entered By: Wendy Hiatk
Department: Water Citizen Name: John Crowley
Address: 1541 TROLLHAGEN DR NE Callback Phone: 763-572-9492
Scheduled Date= Property Owner:
Location Details: "'xBILL'x" Request Details: Shut water oFF_ Has bad leak
Action Taken:
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Approver:
Completion Date: Q Citizen Notified
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