Meter Swap .
� Request Number: 13187
Public works niv;sion
Service Request
Problem Address: 7661 Briga�oon Pl Requested By: Talia Welch
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Plwne Number: 763-442-5212
Sc6eduled Da : 2017-02-01 Sc6edaled 1ime: 07:00:00
' ST
ACTION NEEDED:
Created tty: Wendy Hiait Date Crexted: 2017-01-31
ACIION TAI�N:
�-S w� 1�� v�� � l�
Status: In Progress Sabmitter Hm Beee r,
Coututed
Date Completed: 2_ I_ 1� Completed by: ����
W�tea-��art�ne�t
5431 LOn6versit'r Aver,ue P1E . -�
,, Frielley,MN 55432 � �''�- �c'���'•�� •-�- 7�
763-572-3566 � � �� � �
' �/w� hereby authorize#he�'ity af Fridley andJor its empioyees to do what is necessary to
replace+the water meter. 1 understand that fihe property owner is liabie for the water line from the main to the premise and all interior
piurrrbing. {Per City code 402.06) i also hofd the City of Fridley and�ts employees harmless for any slamages that may ocwr while doing ttiis
operation. This to incfude,but not limited�o valves,piping,waiis,floors or lthe curb stop box and service line. in understand!am also require�
#o obtain a permit prior to arry rrorlc,�f necessary.
FINAL METER READING(o!d meter)_ 1.����_� � `�
Name• � 'we �G�/'` Address ���.� �1�1��C��OCV�
Phone Hum �t3 � ��2- �� ��,., p� G- 1 ���
Si;gnature wii�,ess signat�,re "'
OtD METER#_�J� ��� �j
OLD READtNG �� v J �� U
NEW METER# "� v I � � 3 � I
NEW READING �
ERT# _ � � UD� 4 � � D
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM Wi�1TER AtYD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4�,565,566,629,63$,662,9Z2,988,1144,I156,1191)
402.5 PERMR PEE
Prior to constructing or repair of any watec af s�wer{ine connecting the existing muniapal system and arry house oc building fvr which the
applicatiun is made,the owner or cor�tractor shail be required to obtain a permit for such connection,and sbali pay a permit fee as provided in•
Cha}ster 11 of this Code. After such connection has t�een made,the Water and Sewer Department shall be notified. li shall be uniawful to cover
arry connecting fine uritil an inspection has been made and such con�ection and the work inaderrt thereto fias been approved by the City as a
proper and suitable connection.
402.06 REPA�RS AND MAINTENANCE TO CONTifECTtON .
After the in'rtial connection has been made to the water service curb sto�box or the sewec lead at the property iine ar a water service lead has
been extended#o the property line for connection,the appiicartt,owner,or occupam or user of such premises shaii be 1'wWe for all repairs
required to any water ti�e and sewer lines necessary for connectior+of tfie premises from the main to the premises. tf the property orrrrer
requests mairrtenance service or repairs be pesformed by the City,the property owner shali be charged for the costs af the maiirtenar�ce and/or
repairs,including necessary street repairs at a ra#e set annually by an administrattve policy. It shaf!be the responsi6il'rty of U�e applicariC,
owner,occupant or user to perform standard maintenance af the sewer servtce line fram#he premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains almve the fintshed
grede ofi the land or property. (Ref 638,1156,1191J
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