Meter Swap , " � Request Number: 13112
Public works Division
Service Request
Problem Address: 7631 Brig�bon Pl Requested By: David Sampson
Depsrtment: WATER .A�lreas: 7b31 Brigadvon Pl
Fri�ey,MN 55432
Problem/tssue: INSTALL AMR METER Phone Nwn6er: 612-710-4783
Scheduled e• 2017-02- 1 S,r Schednled 11m�: 08:30:00
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ACIION NEEDID:
Created by: Beth Kondrick Date Crerted: 2Q 17-01-26
ACIION TAKEN•
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States: In Progress ���er Has Been �.,
Conts�cted
Datz Co�pleted: Completed by:
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v�rate�-�epar�aa�es�t
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Fridleyy M� 554�2 . lC %t r s��,j�/� _ l_� I
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7�3-572-3566 J
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'�'''�� her�by authorize the Ciiy af Friciley andjor its emptopees to a!o what 6s necessary to
reptace the water rneter. t understand that the property owner�s tiabte for#he water line from the main to the premise and all irnerior
plumbing. (Per Crty socte 402.06j i atso hold tF►e City of�eidley andJits employees harmless for any damages that may occur while daing this
oper�tion. This to 9nclude,i�ut not timrted io valves,piping,waUs,floors or#he curb sto�n box and servece line. {n vnderstand 1 am aiso requir
to obtain a permit pr'sor#o any�rorlc,if necessaey.
FItYAL METER READiNG meter) � ` � �•7���
e
Name: " � � Address �` �„�
Phone Num ������ � Date �f`�
Signature - 1Alftness Sigrsature
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OLD READIAtG_�������
11iEW METER#_L� ����
1VEW REA,DtlVG �
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FRIDLEY CiTY CODE
CHAPTEIt 4Q2.WATER,STORIW WATER R1ND SANiTARY SEWER
ADMlA[lSTRATION
(Ref Ord Mo 113,464,565,�66,629,638,662,922,988,114�,1156,Lt91j
�02.5 PERMfI'FEE
Prior to cortstructing or repair of any water aF sewer tine connecting the existing munic+pal spstem and arry house or buiidirg for which the
appiicafiion is made,the owner or corrtractor shatl be required to obtain a permit for�rch connection,and shali pay a permit fee as provided in
Chapter 17.of this Code. Ai�ter such connection has been made,the Water and Sewer Departmecrt sfiall be nartified. tt sha0 be uniawful to cove
any connecting line until an inspection has been rttade aod such wnnection and the waric inaderrt thereto has been approved by the Cd.y as a
proper and suitabte connection.
�02.06 REPAiRS AND MAINTEtHqpICE TO CONNfCt70N
After the initia(connection has been made to#he water service parp y�top box or the sewer fead at the property iine or a watQr senr�lead(�as
been extended#o fihe property tine for connection,the applicant,owner,or auvpan#or user of such premises shaH be liabie for a11 re�irs
repuired to any water line and sewer liaes�ecessary for con�ection af the premises from the main to the premises. ff the proparty vwner
requests maintenance service or repairs be perFormed i�y t6e City,the property owner shali be charged for the��ts af the mairttenance and/or
repairs,induding necessary street repairs at a rate set annually by an administrative poficy. It shatl be the responstbility of d�e applfcartt,
owner,occupant or user to perform standard mairitenance af the sewer service line from the pcemises to the main induding debris dearing or
root cutting and to maintain the water service curb sto�box for operabi{ity and at such height as wi11 ensure that it remains above fihe ftnished
grade of the tand or property. (Ref 638,1156,1191j