Meter Swap , Request Number: 14538
Public Works Division
Service Request
Problem Address: 1545 Trollhagen Dr Requested By: I�n Jaros
Depsrtme�: WA1ER Addresa: No address provided
Problem/Iasue: INSTAI,L AMR METER Phone Number: 612-9645567
Sched�lad Date: 2017-04-1 Scheduled 1lme: 02:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crented: 201�-04-OS
ACITON TAKEN:
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St�tus: 1n Progress �nbmitter H�Been �,
Co�acted
Date Completed: ����^ �� Completed by: �Q��
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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. t understand that the property owner is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,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.
FINAL METER READING(old meter)_ ��� ��v
Name: �aX� ��� Address J � 1 ' �.
Phone Number �� 4" 1W- 1 ��C(d� Date �`� �,�� 1�
Signature Witness Signature
OLD METER# ���`�'� ! �/`�O
OLD READING ��� ��d
NEW METER# � Ip�v� 1�1
NEW READING v
ERT# ` °��� 1 � !
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 arry house or building for whid�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 Departme�shall be notified. it shall 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 tfie City as a
proper and suitable connedion.
402.06 REPAIRS AN�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 sewice lead has
been extended to the property line for connection,the applicarrt,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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shall 6e charged for the costs of the maintenanc�and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service li�e from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the las�d or property. (Ref 638,1156,1191)