Meter Swap � Request Number: 14389
Public works Division
Service Request
Problem Address: 1463 Trollhagen Dr Requested By: Mr Oestriech
Department: WA'IER Address: No address provided
Problem/�ss�: INSTALL AMR ME1ER Phone Nnmber: 571-�631
Schednled Date: 2017-04-06 Schednled'ISme: 11:30:00
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ACIION NEEDED:
Crepted by: Wendy Hiatt Dxte Created: 2017-03-29
ACITON TAKEN:
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Status: In Progcess 5abmitter Has Been r
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City of Fridley S Q� 3���v
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the Cty of Fridley 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 interior
plumbing. (Per City wde 402.06) 1 also hold the�ty of Fridley and/its employees harmless for any damages that may ocwr while doir�this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in u�derstand l am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) �� I `��V
Namer�"�r, V�i��r'►��, Address lJd �1 U '�. �
Phone Number � L � l�'"' �( Date � �`� v��
Si nature !'
8 Witness Signature
OLD METER# �� ✓ V� ��5
OLD READING � � � `c`'�v
NEW METER# t r D� ` ` � �
NEW READING �
ERT# � ��� � ��� � . .
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINIS7RATtOA1
(Ref Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
402.5 PERMIT FEE ,�;,
Prior to constructing or repair of any water of sewer line wnnecting the eacisting municipal system and any house or buildi�for wfiich the
application is made,the owner or rnntractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee�provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line urnil an inspection has been made and sucb�nnection and the work incident thereto has been approved by the City as a
proper and suitabie con�ection. �
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the ieitial connection has been made to the water service wrb stop box or the sewer lead at the property line.or a water service lead has �
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repalrs
required to any water line and sewer{ines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance seroice or repairs be performed by the City,tfie property owner shall be charged for the costs of the maiMenance andJor
repairs,including 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 maintenance of the sewer service line from the premises to the main including debris clea�ing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains abwre the finished
grade of the(and or property. (Ref 638,1156,1191)