Meter Swap . . �
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' Request Number: 13010
Public Works Division
Service Request
Problem Address: 7628 Brigadoon Pl Reqnested By: Madeli�Re�e
Departme�: WA1ER Address: 7628 Brigadoon Pl
Fridlcy,MN SS432
Problem/Isaue: INSTALL AMR ME1F.R P6one Number: 763-'786-9570
Scheduied 2017-01-2 Sc6eduled 1lme: 10:30:00
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ACIION NEEDED:Install AMR
Crented by: Beth Kondrick Date C�e�ed: 2017-01-23
ACIION TAKEN:
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Statns: jn Progress Sabmitter Has Beee r
Contacted
Date Completed: Compieted by:
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4lfater�e�sartrnent
� ' 6431 University Avereue 6VE „�(�� � �o� �� � r ��
Fridley,MN 55432
r � 763-572-3566 � � .,�� �� �
���e her�by authorize the Ciiy af Fridley and/or its empioyees to do what 6s necessary to
replace the water rneter. 1 understand that the property owner u liable for the avater line from the main to the premise and all irrcerior
pPumbing. (Per City code 402.06j i aiso hold the City of Fridley and�ts employees harmless for any slamages t(�at may occur while doing this
operation. 7)tis to include,but not limi#ed to valves,piping,walls,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to arry wor4c,if necessary.
FIfYAI METER REAOING(otd meter) ��� � �
Name:� k7��'ei �Y� `�'��7r �� Address l.-sL/ �.
Phone Numl!!r i�c7�� �'C�p� ��Z�" �
SFgnature J�� Witness Signature
oin n�Er�R# �, �o J���� 3
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OLD READlNG_Z� � 2V
NEW METER#_ '�.�$�� ! 2'� �
NEW READING Q_
ERT# ���I�
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 constructing or repair of any water of sewer line connecting the exiseing muniapal system and arry house or buildir�for which the
application is made,the owner or contractor shall be required to obtain a permit for such rnnnection,and shall pay a permit fee as provided irr
Chapter 11 af this Code. After sucfi connection has been made,the Water and Sewer Departmertt shall be notified. it shail be unlawfial to cover
arry tonnecting line untii an inspection has been mede and such connection and the work inaderrt thereto has been approred by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITENANCE TO COPfNECTiON
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 senrice lead has
been extended to the property fine for connection,the applicarrt,oarner,or accupant or user of such premises st�all 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. tf the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the matrrtenan�;e and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. {t shafl be the responsibiliiy o�f the appiicarrt,
rnvner,occuparrt or user to perform standard mairrtenance of the sewer service line from the prem+ses to the main ioduding debris dearing or
raot sutting and to mairrtain the water service curb stop box for operabiiity and at such heigfit as will ensure that it recnair�s ahove the flnished
grade of the land or property. (Ref 638,1156,1191)