Meter Swap � Request Number: 13708
Public Works Division
Service Request
Problem Address: 6150 Benjamin St Requested By: Jolene Weiden
Department: WATER Addreas: No address providcd
Problem/Iss�: INSTALL AMR METER Pho�Nnmber: 763-300-2763
Schednled Date: 2017-03-07 Sc6edaled Time: 01:00:00
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ACIION NEEDED:
Created by: Wendy Histt Date Cre�ed: 2017-0Z-Z8
AC1�ON TAI�N:
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Statua: In Progress ���er Hn�Been r.
Co�ncted
Date Completed: •3-- �✓�Z Completed by:���
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4/�r� herePoy authosize ttlae�C' �#.4�red!
�v ey and/oe-f�s emploqees to c{o�nrha#ds nesessao
����ace td�e ura�er rnetee�. �U�yclerstand t�aa�t the�rope�ty ownss��s$iable for tlte�vrafier line from the mais�to�ee premise and ali irrCerior
,�faarra�sing. �P�er�C"rty soa6e h�2.�6� �aasca�aoir!the�'rty t+f Fridley and/ats err►�loqees harmless for er�y slamages tEBafi rnay�ccur wlaile doir3g
apera�tion. i 4a➢s to"snelucEe,�Ou��a�8iaa9ttect�o vaives,AiPing,watTs,floors�r td�ae curb sto�o da�ox ared senrice li�e. 6rn�nderstand!am also re
te�otataira a peranrt prso�r to aray wvr�,if�ecessarye
�I�iRL.�ltETER IiEADtAiG(oW rneter� � � � L��C/
Name: J(J���I� ��U��°i� Address � � �"/Vl.` (n�.�`�/� ,�'
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srgreatu� ar�finess s-ygnature �
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cFlA�E��(lZ.V6IA7'�R,�'oRM!�1/A,�E4�ANiD 5�9YRARY SEWER
ADRIIINISYRAT9�D�tt
��ief CBrd fiiv 113,464p'S65,��6,625,638,�62,922,988,1144,Ii56,i191�
4U2.5 PERMlT FEE
Prior to constructietg or repair of any water aF sewer iirae wnnecting the existing rnunitapal systerrr and arry�ouse or�xildir�g for which the
a�rPiicafiifln is made,the owner or cornractor shait be required#o obfiain a permit for such c�nnection,and shali pay a permit fee as pro,ride�
Cha�rter 9.a of this Code. After such connection has beer�macle,the�later and Sewer Depashtsenfi�sa119�e saotified. tt shafi be unlawfui to c�
ar�y connecfiang tine ur�til an inspeclaon has been anade and such cor�nectiun and the worbc�naderrt thereto has been appraved try the Ci#y as
proper and suitable connectiara.
4tf2.05 REPAIRS laND 91RAIrt7'ENAAiCE TO C01Y(l�tEC1'fON
A�er the in'rtial sonnectivn has besn made to ifie water service curb stop box or the sewer�ad at tfie properiaj iine af a+rater servi�ce lead fi
beera extended to the property fine for connedian,the appficarrt,ovrner,or occuparrt or aaser of such premises shaii be i1a�e for a11 repatrs
required ta arn��er dine and searer lines necessary#or connection of t.fie prem�ses from�e main to fihe premises. if the property owner
requests mairrtenance senrice or repairs be perFormed hy the CitY,tfae property owner shall he c6arged fvr the costs of the maicitQnanae and;
repairs,inctudisag necessary street repairs at a+�a�te set annua�ty by an administra�ive poficy. tt s6atf be the sesporisibility af the appiicarrt,
owner,occuparrt or user to perfornn standarc(mairrteriance oF#he sevver servsce line frvm the premises to the rnain anclu�ng debris dearing c
roofi su,tt.ing ared to mairrtain#he water service curb stop bax for operai�ility and at such�eight as will ensure that it rernains aboue the finisiae
grade of the land or property_ (Ref 638,1156,1191}