Meter Swap �. ` Request Number: 13540
Public Works Division
Service Reqnest
Problem Addresa: 6020 Benjamin St Requested By: Mary Clemens
Departmenit: WATER Addreas: 6020 Benj�nin St
Fridlcy,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-0640
ScheduledDnte: 2017-03-02 � Scheduled'I1me: 01:00:00
AC'TION NEEDED:
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Created by: Beth Kondrick Date Cresited: 2017-02-16
AC'�UN TAI�N:
�-��,rl�d
� ___.�.
____________ �
St�tus: In Progress ����'�Been �
Contacted
Dxte Completed: 3—�.r�� Completed 6y: t`_ �
c.�Ol.
. `�.
�431 i9aa�v��-sity A�r�r�a�e�!�
Friclls�, N!N �5432
7�3-�72-3��5 �(��- y �7 v 3 � v .-o �
' P/'A°e her�by authorize the�'rty of Fridley and�'or its empioqees to sto what is necessary t
reg�lace the water meter. t vnderstand ti�at the propecty owner as liable for the water line#rom the main to the premise and all irrterior
plurrrbing. �Per Crty�ode 402.06� i adso teold the C'sty of Fridiey and/'rts em�loyees harmless for any�lamages that may occur while doing thi
operatian. This#o�nctude,but nat Iirr�'rted�o valves,pipin�walls,floors or the curb stop box and service line_ On vndee5tand 1 am also requ
to obtaira a permifi prio;r to any ivor�c,if necessary.
� �\`�
FIRiAL METER READMiG(old meter) `� ll� � � �
�tames 1'1.��/ .{�Yi�.Q.{/l-�J Address �v p�Niti ��.
Phone Number_f�b3' J� " D�•/ aate �7"�'' �7
S+gnate�re Witness Signature —�
OLD MfETER# � �
OLD READtNG ����J l�
NEW MEfER# �qo� a c�Z o
NEW REA.DtIVG O
ERT#__� ` I � � LJv � .
FRIDtEY CiTY Ct,�DE.
CHA1�1'ER 402.WATER,STORM WATEl�AND S�tNITARY SEWER
ADMt4�!lSTRATlON
tRef Ord No 113,464,565,5�,629,638,662,922,988,I144,I155,1191}
402.5 PERNfIT FEE
Prior to constructirig or repair o#any water of sewer tine connecting the existing municipai syscem and arry house or buitding for wbich the
application is made,the owner or corrtractor sha(f be required to atrtain a permit far such connectioa,and shali pay a permit fee as provicted ii
Chapter 11 of#his Code. After such connection has been made,fihe Water and Sewer Department shali be rtotified. tt shall be untawfvl#o coa
any connecting tine until an inspection has been made and such connection and the wor�c inaderrt thereto has I�en approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND lII1A1NTENANCE TO COPtfNEC7701Y
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property iine or a water sen�e lead has
been extended#o fihe property line for connedion,the appiicarrt,owner,or accupant or user af such premises sF�all be IiaWe for all repairs
required to aay watar line and sewer lines necessary#or connection of the premises from#he main to the premises. ff the preperty owner
requests mairr#enance service o�repairs 6e perFormed by the City,the property owner shall be charged for the�sts af the mairrtenance and/o
repairs,inciudirag necessary street repairs at a rate set annuaily!ry an administra#iae policy. It sha8 be the responsibi!'rty of the applicarrt,
owner,occuparrt+or user to perForm standard maintenance of the sewer service line from the premises to the main ancfuding deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the f�nished
grade of#he land or property. {Ref 638,1156,1191)