Meter Swap Request Number: 14303
Public works Division
Service Request
Problem Address: 1532 Trollbagen Dr Requested By: 'Ihomas Campbell
Depxrtmeet: WATER Ad�tress: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-5060
Scheduled Date: 2017-0� Sc�edaled'Rme: 10:30:OU
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AG'IION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-24
ACIION TAI�N:
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Status: In Progress Snbmittcr Haa Been r
Co�acted
Date Completed: Completed by:
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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 emplayees to do wfiat is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for arry dam�es that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand l am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� `� � � �
Name: 1 � �t�'��� Address I ��
Phone Number � v� �� �O Date " 4'�� V�
Signature \ � Witness Signature
OLD METER#_ �� - I � ���
OLD READiNG �- 1 { � � I�
NEW METER# � r����� I
NEW READING O
ERT# � � �� ' � � !
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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�nneding the existing municipal system and any house or buiiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee�provided in
Chapter 11 of this Code. After wch connection has been made,tfie Water and Sewer Department shatl be notified. It shail be unlawful to cover
any wnnecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and witable connection.
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 line or a water service Iead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all 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 responsibility of the appliwnt,
owner,oaupant 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)