Meter Swap �
� Request Number: 13324
Public Works Division
Service Request
Problem Address: 6025 Gardena L.n Requested By: Stanton Berg
Dep�rtmeirt: WA'IER Addresa: No address provided
Problem/Issue: INSTALL AMR METER PhoHe Number: 763-571-0551
Scheduled Date: 2017-02-16 Sc6ednled 11me: 02:00:00
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AGTION NEEDED:
Created by: Beth Kondrick Dste Created: 2017-02-07
ACIION TAI�N:
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Status: In Progress ��Ker Ha�Beee r
Co�tacted
Date Completed: �..:����;� Completed by: ���
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�raCl6s.'y,!1/EN SS43Z
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4 �,�°� her�6y authorize#he�'rty of�erdley and/or its empioyees to sio what 6s necessary
. regalece#he�erater meter. t understand that fihe property owner u tiable for the+vater line from 2he main to the premise and ali i�erior
plumbing. (Per City�osle 402.06; f also hold the e'rly�af Fe�idtey and/ifis empioyees harmless for eny damages that may occur rrhile doing tF
o�eration. This to include,bufi nrnt limited 3o vahres,piping,watls,floors or the tvrb stop Jaox and senrice line. In understand 1 am also req
to obtaira a permit prsor to any wo+�lc,if necessary.
FIAtAL METER READIAiG(o!d mefierj_ � �� �r/ �
Name:_J.}�Y��Y�- � Address_ l D��"J �%�I.,C��(��'�C... �.
Phone Number �3`�� `�V � '—''�
b � / Date � � \
��"�� Witness Signature `��
OLDMETER#_ � v�� ���1�
OLD RfADtlltG� � � G��O
t1iEWMETER# ��yo�� �7
NEW READING �
ERT# � � � I � � � �! �
FRIDI.EY ClTY CODE
CHAP3ER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
�Ref Ord No 113,4+64,565,�66,629,638,662,922,488,1144,i156,T,1.91}
4U2.5 PERMIT FEE
Prior to constructrrig or fepair of any water of sewer iine connecting the existing municipal system and arry house�buiidir�g for�the
applicafiian is made,the omrner or cor�traactor shaif be reyuired to abtain a permit for such wnnection,and shaU pay a permit fee as provided
Chapier 11 of#his Code. After such connection fias been made,tt�e Water and Sewer Departmerrt sltail be no�fied. tt shafl be untawful to co
any connecting line urrtii an inspection has been made and such connedion and the wor6c inaderrt thereto has been approved by the Ciry as a
proper and suitable connection.
402.06 REPAlRS AtOtD MA1plTEIyqA10E TO COII�1[ECTION
After the initial connection has been made tfl the water senrice curb stop t�ox or the sewer lead at the prope�l:y lirne or a rrater service lead ha
been e�ctended to ttze property line for connection,the appiicarrt,ow�er,or accuparrt or user of such premises shait be liabie fer eli repairs
required to arry water line and sewer lines necessary for connection af the premises from#he main to the premises. ff the properFy�pner
requests mairrtenance sesvice or repairs be perFormed by fihe City,the property owner shali be charged for#he�s af the mairrtenance and/
repairs,inciuding necessasy street repairs at a rate set annually by an administrative policy. It shat!be ffie respor�ssibitity of the applicarrt,
owner,occuparrt or user to perfiorm standard mairitenance of the sewer senrice tine from the premises to�the main induding debris dearing w
root r,utting and to mairrtain the water service curb stop box for o�rability and at such height as wili ensure fihat it remains abwe the finishec
grade of the land or property. �Ref 638,1156,1191�