Meter Swap � Request Number: 14380
Public Works Division
Service Request
Problem Address: 1558 Trollhagen Dr Requested By: Susan Anderson
Department: WA1ER Address: No address pcovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-Z379
Scheduled D_�_t�: 2017-04-04 Scheduled 1lme: 08:30:00
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ACITON NEEDED:
Crested by: Wendy Hiatt Date Cre�d: 2017-03-29
ACTTON TAI�N:
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._.w.__...___._._.�.... ._.........____._...�........._..._..__.�1�.......�_.....___...._.____... .______._
Status: In Progress ���er Has Been r
Cont�ted
Date Completed: �� ,, � _ 1� Completed by: t��G�
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' City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
�/M►e hereby autfiorize the City of Pridley andjor its employees to do what is necessary to
replace the water meter. i understa�d 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) I also hold the City of Fridley and/its employees harmless for any damages that may ocau while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. tn understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �V/ ✓ /���
Name: 4lU��-¢�l. 1�v�E"��� Address �� J'��'1 �•
Phone Number 1�`-��� �� l~'���� Date �'� � �� C
�
Signature Witness Signature
OLD METER# {� { � / ��v !
OLD READING t ��S� - LD
NEW METER# 1 �p��� `��
NEW READING �
ERT# ��� 3���
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)
4fl2.5 PERMIT FEE
Prior to constructing or repai�of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any wnnect'sng line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittal connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water servic;e lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user af 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 awner shaN be charged for the costs ofi the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibillty of the appliqM,
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 wch height as wiil ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)