Meter Swap � Request Number: 13009
Public works Division
Service Request
Problem Addresa: ?651 Brigadoon Pl Requested By: Mark Nywld
Dep�rtment: WA1ER q�.e�s: 7651 Brigadoon Pl
Fridley,lVIIV 55432
Problem/Issue: INSTALL AM[t METER P6one Number: 763-786-9136
Scheduled Ihte: 2U17-01-26 Scheduled 11me: 08s00:00
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AClION NEEDED:Instail AMR
Created by: Beth Kondrick Date Created: 2017-01-23
ACTION TAKEN:
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Status: 1n Progress Sobmitter Ha�Been �
Co��ted
Date Compieted: �� �(�._ �� Com�eted by
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iNater�epartrv'ent � `,�;' �
6433.�niv�rsit�y Avena�e NE �L5
Frid6ey,N!N 55432 ,�, v���Ui� r�i /
, 763-572-3566 �
11�e hereby authorize the City of Fridley andJor its empioyees to clo what ds necessary to
replace#he water meter. 1 understand that the properky owner is liable for the water line from the main to the premise and ail irrteriar
ptumbing. (Per Crty code 402.06) i aiso hold the City of Fridley and/its employees harmless for any sJamages that may occur while doing this
operation. This#o�nctude,but not limited to valves,piping,wa(Is,floors or the curb stop box and service line. In understand!am also require�
to obtain a permi#prior to arry�rortc,if necessary.
FItYAL METER READIAIG(old meter) �� `� � �`r
Name:�� t V ) (y Address ��iJ� 1 � �U ����. 1" I
Phone Number " '��_ p� ��(�`� t��
Signature iM�ness Signature �
OLD METER#__�������
OLD READING / �� ���
NEW METER#�"7 I 185 oa
NEW READING �
ERT# l!l ���� I� � �,
FRIDLEY C1TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,484,565,556,629,638,662,922,988,I14A,,i156,Z191j
402.5 pERMdT FEE
Prior to construding or repair of any water of sewer line conneccing the existing municipa(system and arry house or building for which the
appl��tion is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be untawfu!W c�ver
any connecting fine uritii an inspection has been made and such connedion and the wor8c inaderrt thereto has beer�approved by the City as a
proper and suitable connection.
402.06 REPAlRS AND MAtPITEtYANCE TO CONNECTION
After the initiai connecfiion has been made to#he water service curb stop box or the sewer 1¢ad at the property tirie or a water sQnrtce Iead has
been Qxfiended to the property line for connection,the applic�rrt,owner,or occupant or user of such premises shaii be liable for al�repairs
required to any water line and sewer Itrtes necessary for connection of the premises from the main to the premises. if the ps�o�rty ows�er
requests mai�enance service or repairs be perForrned by the City,the property owner shali be charged fo�the costs of the mairKenance andJor
repairs,inciuding necessary street repairs at a rate set annually by an administratlde policy. It shali be�e responsibiliiy of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line frvm the premise�s to the main�nctuding debris dearing or
root tutting and to mairrtain the water service curb stop box for operability and at such height as witl ensure that it remair�s above the fin'�
grade of the land or property. (Ref 638,1156,1191)