Meter Swap � Request Number: 14361
Public works Division
Service Request
Problem Address: 1495 Trollhagen Dr Requested By: Candy
DepArtment: WA'IER Address: No address provided
Problem/issue: INSTALL AMR METER Phone Number: 763-780-6026
Scheduled Date: 2017-04-03 5chednled Tlme: 01:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date CreAted: 2017-03-28
ACTION TAI�N:
..____..__......____....__ �y�..1_.�_...._._.......___....��`��...--.__.
Status: In Progress Sabmitter Hss Been r
Contacted
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 and/or its employees to do what 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 ar�d all iMerior
plumbing. (Per City wde 402.06) I aiso hold the City of Fridley and/its employees harmless for arry damages 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 1 am also required
to obtain a permit prior to any work,if necessary.
FiNAL METER READING(old meterj ��� ���`�
Name: Address_ ���� ��� �P/� ��'
Phone Number �J� � � �`dV�D�e �� ✓~ ��
�
Signature Witness Signature
OLD METER# � "� 1��� 6�
OLD READING �� � / ���
NEW METER# �� �D� 1 ' !
NEW READING �
ERT# ` �o(ip�.� , � �
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 connecting the existing municipal system and any house or buildi�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,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 notified. It shali be unlawful to cover
any connecting line until an inspedion has been made and wch connection and the work incident thereto has been approved by the C1ty as a
proper and sutWble connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servia kad has
been extended to the property line for connection,the appficant,owner,or occupant or user of such premises shali be tiable for atl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ovnner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the�sts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility ofi the applicant,
owner,occupant 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 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)