Meter Swap t
Request Number: 16405
Public Works Division
Service Request
Problem Address: 6170 Benjamin St Requested By: Greg
Department: WA1ER Address: No address provided
Problem/Issue: IN5TALL AMR ME'IER Phone Number: 603-$45-9970
Scheduled Date: 2017-07-21 Schednled Time: 07:30:00
. ST ,3
AC'TION NEEDED:
Created by: Beth Kondrick Date Created: 2017-Q7-19
ACTION TAI�N: � ��
__..__ �-'S .._._.. ._...... ........_...._.._.............._��--..._.µ.___.____.__._...___...._._.___.__.�._.__ __
Status: In Progress 5ubmitter Has Been r.
Contacted
Date Completed: �.— 1 t ,.,,'� Completed by: � �
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� �i�j/���ricltey �� ..- �"7� T/��... '
' Mlatee-�e�sartrv9ent � �� �
5431 lJnaor�rsity Avenue 6V� �
Fr6dley,MN 55432 � � ��7.✓.. /
763-572-3566 [
�''"« hereby authorize the City of Fridfey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is tiabie for the water llne firom the main to the premise and all irrterior
plumbing. (Per City code 802.06j 1 also hold the City of Fridley and/its employees harmless for acry daenages that anay occur whife doing this
operation. This to include,but not limited to vatves,piping,walis,floors or the curb stop box and senrice line. in understand i am also require
to oi�tain a permit prior to arry work,if necessary.
E!P{AL 941ETER READIWG(oid meter)__ � �� L/ � l �
Name: �r� Address I V �iK- (/�.�M-�i�- ✓� -
Phone Number O�J^ �� ' ��I�a� ��" p�,��-' �,�
r�Signature Witness Signature �
(/ —
OLDMETER# _ � �� �V l� �
OLD READING �� ` � / / �
NEW METER# l ��� �� i `
NEW' READING �./
ERT# � � �� � v� 3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WAITER AR1D SANITARY SEWER
ADMtNISTRAtION
(6Zef Ord No 113,464,565,566,629,538,662,922,988,1144,1�.56,1191j
402.5 PERAAlT FEE
� Prior to construcCing ar repair of arry water,of sewer iine connecting the existing municipal system and arry house ar buiiding for which fihe
application is made,the owner or coritractor shail be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notified. It shall be uniawful to cover
any connecting tine until an inspection fias been made and such connectiun and the worbc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIPlTEPIANCE TO COWNECTION
After the�nitial connectio�has been made to the water service curb stop box or the sewer lead at the property line ar a water service tead has
been extended to tFie p�operty line for connection,the appiicarrt,owner,or accuparrt or user of such premises shall be iiable for all repairs
required to any water line and sewer lines necessary for connectiaa af the prer►�ises from the main to the premises. ff the property owrter
requests mairrtenance service or repairs be performed by the Ci#y,the property oarner shall be charged for the casts of i�e mair�tenance and/ar
repairs,including necessary street repairs at a rate set annually by an administrative policy, it shall be LFie responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main induding debris clearing or
roofi cutting and to maintain the water senrice curb stop hox for operability and at sucfi height as wiN ensure that it remains above the finished
grade af the land ar property. (Ref 638,1156,1191)