Meter Swap . � Request Number: 13036
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PU�1C wO1�S D1V1SlOri
5ervice Request
Problem Addreas: 7671 Brigadoon Pl Requested By: Terry Mcclellan
Department: WA1ER ��.eSS_ 7671 BrigadoonPl
Fridley,MN 55432
Problem/Isaue: INSTALL AMR METER Phone Number: 612-202-1066
Sc6edW ed Date: 2017-01-30 Schedoled 1l me: 11:00:00
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AC"IION NEEDED:Instail AMR
Created by: Beth Kondrick Date Created: 2017-01-23
ACZION T .
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Status: In Progress Sabmitter Has Been �
Contxcted
Date Completed: Completed by:
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itVatea-�eq�arrme�at
5431 l�niv�rsitv�Avea�ue 9YE `�� � =��k��,��� 'U l �
Fridley,MPt 55432
, 753-572-3565 � '� � �
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�I'"'� hereby authorize the�iity o#Frndley and/or its empiopees to do what is necessary#o
repiace#he water meter. !understand that�he property owner�s liable for the water line#rom the main to the premise and all i�terior
pluersbing. (Per City code 402.06; i aiso hold the City of F�idley and/its employees harmless for any damages that may occur while doing this
operation. This#o incfucte,but not limrted io vaixes,piping,wails,floors or the curb stop box and service line. In understand I am also require�
to obtain a perm'rt prior to any war8c,if necessary.
FINAL M READiNG(old meterj � 1 � `� � �
Name� � /Ip
dress �1� �
Phone Num6er 7V� � ^ �_ D� 1��� ' ��.
Signature W'rtness Signature
OtD METER# ��J I� � L J�
�`e,: � � � .� � � V
t�LD REAQtNG C
NEW METER# ������� �
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NEW READIntG �
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ERT# _ _ t��r � `� /�
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FRIDI.EY CiTY CODE
CHAPTER 402.WATER,STOIiM WATER AND SANtTARY SEWER
ADMINlSTRATtOAt
(Ref Ord No 113,464,565,556,629,638,562,922,9$8,1144,I156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildir�g for which the
application is made,the owner or coritraractor shali be required to obtain a Qermit for such co�nection,and shall pay a permit fee as p�ovided in�
Chapter 11 of this Code. After such connection has been made,tfie Water and Searer Deparkmer�t shall he notified. it shatl be untawfut to cover
any connecting fine until an inspection has been made and such connection and the wo�6c inciderrt thereto has 6een apprrn�d by the City as a
proper and suitabte connection.
402.06 REPAIRS AtYD MAIAITENAAfCE TO CONNECTION
After the initiai connectiort has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
bee�extended to the property line foc connedson,the appiicarrt,owner,or occupant or user af such premises shalf be IiaMe for all repairs
required to any water line and sewer lines necessary for connettion of the premises from the main to the premises. ff the properCy owner
requesfis mairrtenance service or repairs be perFormed by the C'ity,the property owner sfiail be charged for#he casts of#he mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative pol'sry. it sha41 be the responsibility o�Fthe applicarrt,
owner,occupan#or user to perform standard mairrtenance of the sewer service line from the pcemises to the main inclu�ng debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remaitu a(mve the finished
grade of tfie land or property. (Ref 638,1156,1191)