Meter Swap Request Number: 12984
Public Works Division
Service Request
Problem Address: 7614 Brigadoon Pl Requested By: Ken Olson
Department: WATER Address: No address jxovided
Problem/Isaue: INSTALL AMR METER Phone Number: 763-786-7651
Sc6ednled Date: 20I7-01-31 _ Schednied 1lme: 10:0U:0O
�S � �� '
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 201�-01-20
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ACIION TAI�N:
��n 5�,�,�e,� Yt�.w � r� �--
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Stxtus: In Progress snbmitter Ha:Been r, `
Co�acted
Date Completed: � ^ � �� ,� Completed by: ���,�
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Wate�-[)e�sartrrtent !z,�
6431 ilnBversity Avenue 4Y� �L �' �`�
Fridley,MN 55432 -2 � � �-�����–v (
- 753-572-3566 �
s ��'"�e hereby authorize the Ciiy af Fridley andJor its empioyees to slo what ds necessary to
replace#he water meter. �understand that ihe property owner is liable for the water line from the main to the premise and all interiar
plumbing. (Per Crty code 402.06) i also hold the City of Fridley and/its emp{oyees harmfess for arry damages that may occur while doing this
operation. This to inctude,but not Bimited to valves,piping,walis,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to any�rorlc,if necessary.
FNVAL METER READING(old meterJ_ �� � ` � v
Name: t�,�tr+ (��rj0-v— Address V�� 1 icJ1�t�'q Q��}C?h.. �� ..
Phone Number ��3— /��p— /�4S � a� � '' ��.� ��
Si;nature Witness Signature C./
OLD METER#_ �✓� � I � �3
OLD READ[t1iG_ �� �I �U , J/
NEW METER# w g �o � a� 1
d � ��
NEW REA�IAIG �
ERT# � + $ � 2 I -I I
FRIDLEY CIIY CODE
CHAPTER d02.WATER,STORM WATER AND SANITARY SEWER
ADMiNIS'i'RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,I156,1191]
402.5 PERMIT FEE
Prior to constructir�g or repair of any water of sewer line connecting the existing municipal system and arry house or buitding for whic�the ;��'��
appiication is made,the owner or cor�tractor sha(1 be required to obtain a permit for such connection,and sF�all pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shali be notified. It shail be unlawful to caver
any connecting line until an inspection has been made and such connection and the wo�lc inaderrt thereto has been approYed by the City as a
proper and suitable connection.
402.06 REPAlRS AND MAINTENANCE TQ CONNECTIOPI
After the initiat connectio�has been made to the water service curb stop box or the sewer lead aC the property line or a water service lead has
been extended to the property line for connectien,the applicarrt,owner,or accupant or user of 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 property owner
requests main#enance senrice or repairs be performed I�y the CPty,the property owner shaU be charged for#he costs aF the maiMenance and/or
repairs,including necessary sireet repairs at a rate set annually by an administrative policy. It shali be the responsibil'rty of the applicarrt�
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the tand o�property. (Ref 638,1156,1191)