Meter Swap ° Request Number: 12972
Pubhc Works Division
Service Request
Problem Address: 7540 Brigadoon Pi Requested By: Mr.Litt
Department: WA'lER p�.eSS: 7540 Brigadoon Pl
Fridley,MN 55432
Problem/Ltsue: INSTAL,L AMR METER Phone Number: 763-786-77'77
Scheduled Date: 2017-01-20 Schedtiled Tlme: 01:00:00
� �'' �
AC'TION NEEDED:
Cresr�Edby: BethKondrick DateCreated: 201'7-01-19
AC'IION TAI�N:
�,-i.5-�-� u� �.�-t �
Status: In Progress Submitter Has Been r.
Coatacted
Date Completed: 4 .,., �/0� ,..� r�J Completed by: �
4 rr�� � / cJ �� �
itVa#ea^�e�sarta�ent l �, � �`� �.---
5431 i�niversity►Avenue N� �
, Fridtey,MN 55432 �� �,�j)��.jl.�� -(,1
_ � 753-572-3566 '���
ljwe hereby authorize the Ciiy af Fridley and/or its empioyees to do what is necessary to
replace#he water rneter. !understand that ihe property owner is{iable for the water line from the main to the premis�and a{{irnerior
�lumbing. �Per C'rty code 402.06j i also hold the Crty of Fridiey andfits employees harmless#or any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waifs,floors ar the curb stop box and service iine. In understand 1 am also require�
to obtain a permit pr�or to�rry work,if necessary.
FBNAI.METER READfNG(oid meter) __� t�(/-��
lVame: �-`'�' ��`� Address ��� �rf 4C.�%C� `�`.
Phone Number G�� �+�`�"�'��Z77 Date ��' �--� � ` C
Signature Wttness Signature "�-'
OLD METER#��c o � � ��
OLD READING � I 1� C�' �J�
RlEW MECER#_�� ` �I v,3 �
NEW READtNG �
ERT# � � �� l, I �J
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566r 629,638,662,922,988,1144,i156,1191)
402.5 PERMIT FEE
Prior to constructirig or repair of ar�y water of sewer line connecting the ezisting municipai system and arry house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a perm'rt for such connection,and shail paY a permit fee as peovided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. tt shail be untawfui to cover
any connecting fine until an inspecfiion has been made and sucfi connettion and the worfc inadent thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTEIYANCE TO CONNECC10111
After the initial connecfion has been made io the water service curb stop box or the sewer fead at tFie property line or a water service lead 6as
been extended to the propert�line for wnnectian,t[�e app{icarn,owner,or accupant or user of such premises shall be liabie for all repairs
required to any wa#er line and sewer lines necessary for connection of the premises from the main to the premises. tF the pro�rty owner
requests mairrtenance seroice or repairs be perFormed by the City,Che property owner shail be charged for the�af the mairitenance and/or
repairs,including necessary street repairs at a rate set annuatty by an administrative poiiry. It shaq be the responsbility of the applicant,
owner,occuparn or user to perform standard maintenance of the sewer service line from the premises to the main�nducling debr'ss dQaring w
root cutting and to mairrtain#he water service cur6 sfiop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191)