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Meter Swap � Request Number: 13602 Public Works Division Service Request Problem Address: 5955 Benjamin St Requested By: Michelle Hatten Depxrtment: WA'IER Address: 5955 Benjamia St Fridley,MN 55432 Proble�ssue: INSTAt.L AMR METER Fhoae Number: 763-572-2176 Scheduled Date: 201?-02-27 � ScNedeted Tlme: 09:00:00 � ✓�/1 ' ACTION NEEDED: Created hy: Bcth Ko�driek Date Cresdted: 201'7-02-22 ACITON TAI�.N: s�.C�� ���.i�--- _......_.._.__._...........__��.__.____.__ __ _ _._�._______. ___. � �,:- _ __ _...�. _____..___.__._...._. _.__...____.___ , _____ ��� �� . �. �� � . _._....��.__..._.......__ _ ._...............___._.......___ . _ ..........._.___.._. A .� _._.____...._.___. �. , Status: In Progress Sabmitter H�s Been r, ContActed Date Completed: ��„1�,� `� Completed by: �L�p 0�, r"� : . r a.�:,,, a+�-e.sy.araaevsn,�cY'a�►r��5@.tlE'9V9: ���d9e�,i1e3SVt ��4�2 7�����-�s�� a �� _y-��a�—o� � �. ����°� hersby authorize the�'rty�#Fa�idley andOor its amployees So a!o what Bs nece�ary regslace the water tneter. 1 c�nclerstand tdiat the qaro�aea�ty ohvner as liable for ttte ara#er line from the main fio the premise and all izrterior plursaising. (Per C"rty code��2.Q6� 8 also 9told the�'rt�j of F�idley and/"rts employees harmless for�riq sJamages tfiat may occur iirFaile doirag t ' opea�tion. �is xo�nclud�,bu�t not lianited io valves,p9ping,waits,floors or ttse ccaris stop box arod service lie�e. In�rnderstand I am also rec to niataira a perrnit prsa�r to any wor�,�f necessary. f �� nd1-� F9lllali.�VIETER READflYG��ld meterj `�� g O�4 " Narne: ��Q`�� ���1��qddress / c ` Pbone tYumber__ `� ✓ r �a ` �1�pate ' �� � 4 "— 6 Segnature witne�Signature �'— otr� ,wtr��� �7�"/ ��J�� OtD READtNG,_,_,�DvQ ' (�iEiAO METER#_��g� �O.O� NF1i O ���# `l ti8�o � d . a FRIDLEY C!1!'Y CODE CE9AP7'ER�i02.WA7'ER,STORM WATE4i AND SANITARY SEWER ADMI!►1lS7'RA'!'!ON ��ef Ord No 113,464y�65,,&S,829,535,662,922,988,I1�4,IISG,1191j 402.5 AERMtT FEE Prior to�onstructing or repair af any wa�er aF sewer iine connecting the existing rnuniapat system and airy house or buitdir�g fvr which the apptication i�made,the owoer or corrhactor shaH be required to ot�tain a permit for such connection,and s(aali pay a permi�fee as provided Chapter 11 of#his Code. AfCer such co�nection has�een made,tF�e�ffater and Sewer Departmerrt shall�e notffied. tt shali be untawfui#o co ar�y connecting tine urrtil an inspection has 6een made and such cannectovn and#he rvoric incsderrt thereto has 6een approved by the C'rty as c proper and suitable connection. 4fl2.06 REPAIRS AND�ltA1NTE�tA1VCE TC3 CONNECTfUN After the Pnitial connection has been made to the water senrice curb stop box or ti�e sewer lead at the propecty liree os a rrater service lead fi� beers extended to fihe property line for connedion,the appiicarrt,owner,or accupan#or user of suth premises shap be 1Pabie for aii repairs required�o ar►g water l�ne and sewer I�nes r►ecessary#or cannection of the premises fram the nnain to the premises. t�the propeny,pMrner requests mair�#enance senrice or repairs be perFormed 6y the CS�y,t(se property owner shaii be charged fior the�osts o#the mairrtenanc�and/ repairs,indudirag necessary y-treet s epain at a rate set annually by an administra�kiue poticy. It sfiafl be the sesporssibiti4y of the applicarrt, owner,occupa�rt or user to perform standard mairrtenance vF the sewer service line from the premises to the main anduding detxis c�aring u, roofi cuttir�and to mairrtain the water service curb stop box for operataility and at such height as will ensure Chat it remains above the finisher grade af fihe land or property. �Ref 638,1156,1191j