Meter Swap Request Number: 14352
Public works Division
Service Request
Problem Address: 1527 Trollhagen Dr Requested By: Toby
Department: WA'IER Address: No ad�ress provided
Problem/Isa�: INSTALL AMR METER Phone Number: 612-?35-6889
Scheduled Date• 2017-04-08 Sched�led'Yime: 10:30:00
G�-� t �`` c�'3c�
ACtION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-03-Z8
ACIION TAI�N:
Status: Tn Progress Submitter Has Been r
Co��ted
Dnte Completed: Compteted hy:
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� City of Fridley �� � `���-1
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 Itable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the Cky of F�idley andJits employees harmless for amr damages that may oaur while doing this
operation. ThPs to include,but not limited to valves.piping,walls,floors or the curb stop box and service tine. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter) � �
Plame:_ ��"U� Address__ f�Z ` �ro 1 ll�.��c,�, �✓
Phone Number `���` C 7S— `e�� Date �v b` !�
Signature Witness Signature `�liV
OLD METER# _ [�C 7 Eia f O
OLD READING ��� � � o
NE1N METER# ` - II ``II II II�
IIIII�II�
I�II
I�IIIII
I�II
NEW READING 49205197 ' .
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FRIDLEY CI'IY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
A02.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and a�y house or buiiding for whicfi the
appiication is made,the owner or coritractor shall be required to obtain a permit for such co�nection,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 shall be unlawful to rnver
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property liae or a water serW�lead has
been extended to the property line for connection,the applicant,owner,or occupar�t or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. lf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibitity af the applicarrt,
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 maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)