Meter Swap Y Request Number: 13500
_„ ._ __—. --.
Pubfic Works Division
Service Request
Problem Addresa: 5941 Benjamin St Requested By: Susan Johnson
Depxrtme�: WATER Address• s941 Benj�in St
Fridicy,MN 55432
Probiem/Issue: IN5TALL AMR ME1ER Phone Number: 763-574-1732
&6eduled Date: 201'7-02-21 � Schednled T1me: 10:30:00
` �
ACTION NEEDED:
Created by: Beth Kondrick Date Creatcd: 2017-02-15
ACTION TAKEN:
��s�.��� .
Status: In Pro�ess Sab�itter Has Been r,
Coataeted
Date Completed: �—�,— 1 1 Completed by: J��,�/
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6431�9rsivea-sity��veraue NE ��� ����;� �
Fridley,MN 55432 ,
763-572-3566 `7�� � ����3� ,�� (
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,�tAPe hereby authorize the Ciiy a�f IF�idley and/or its empioyees to do what is necessary to
reg�lace#he water meter. i�nderstand that the properiy owner u liable far the water line from the main to the premise and aU interior
plumbing. (Per Crty cosle 4�2.06� i also hold the C�ty of Fridley andrts employees harmless#or any siamages that may occur while doing this
operation. This to incfude,but not Bimrted to valves,piping,watis,floors ar the curb stop!wx and service line. In understand i am also requir
to abtain a permit priar to arry�rorlc,�f aecessary,
FiNAL METER READIWG(oid meterj �' ['J� � ./ v
fllame:��� ���0✓�. Address v I- {' 4J�'�a�/M�J�/�, �.
Phone Number ���� V��� �� dP� p� �+" �1 � Y�,
���� Witness Signature �
OLD METER#_���53` ,C.O
OLD READtNG��V � 6�v
NEW METER#_�� 1��7 88
NfW READtIVG O
ERT# _ � �� I �Dy �q ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATIOfY
(Ref Ord No 113,464,565,566,629,638,562,922,9$8,1144,1156,1191)
402.5 PERMt7 FEE
Prior to constructin;g or repair of ar�y water of sewer line connecting the existing municipaf system and arry house or buiidir�fvr which the
appiisation is made,the owner or corrtractor shail be required to obiain a permit for such connedion,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 shail be notified. tt shaii be uniawful to cove
any connecting line untii an inspection has been made and such connedion and the wo�c inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AfifD MAfWTENANCE TO CONiVECTiOM
After the initial cortnecfiion has been made to the water service curb stop box or the sewer lead at the propecty iine or a waler seryice Icad has
been extended to the properry line for connection,the applicarrt,owner,or accuparit or user of such premises shati be itable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests mairrtenance service ur repairs be pecformed by the City,#fie Property owner shaii be charged for the costs o#the mairttenance and/or
repairs,includi�g necessary street repain at a rate set annually by an administrative policy, ft shaB be d�e responsbility of the applicarrt,
owner,oscuparrt or user to perform standard mairrtenance of the sewer service li�e from the premises to fihe main dncluding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)