Meter Swap � Request Number: 14333
Public works Division
Service Request
Problem Address: 1517 Trollhagen Dr Requested By: Margaret
Department: WATER Address: No address�ovi�d
Problem/Iasue: INSTALL AMR METER Phone Number: 612-850-4U44
Scheduled Dar te_ 2017-0 -11 � 5chedaled 1lme: 08:OO:OU
r� I I �` ��r�
ACIION NEEDED:
Crexted by: We�ly Hiatt Date Cresited: 2017-03-2�
ACIION TAI�N:
� �1 � ` 1�
Stxtus: In Progress Sabmitter Haa Been r
Co�acted
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,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 and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to vaives,piping,waNs,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 meter) � �� � � ��
Name: Address `� �� � ��
Phone Number � v� �� l�� pate �I���1�
Signature Witness Signature
OLD METER# ��b� L I � �
OLD READING � ��' ��L/
NEW METER# -I��O�� ��
NEW READING . �l
ERT# � '1���-Z°1'L�-
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 construding or repair of arry water of sewer line connecting the existing municipal system and aey house o�lwilding for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shalf pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shal{be notified. It shaii be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inc�dent thereto has been approved by the Crty as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE 70 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 service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabk fa 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 C'ity,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiltty of the applipnt,
owner,occupant or user to pe�form standard maintenance of the sewer service line from the premises to the main including debris clearing o�
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)