Meter Swap *
�* Request Number: 13323
Public works Division
Service Request
Problem A�ddress: 6045 Gar�na Ln Requested By: Robert Baldauff
Depnrtme�: WA'IER Address: 6045 G�dcea I.�
Fridley,MN 55432
Probiem/Issue: INSTALL AMR METER PLone Number: 763-572-9065
Sched�iled Date: 2017-02-16 Schednled 11me: I 1:00:00
� �
ACIION NEEDED:
Created by: Beth Kondrick Date GYerted: 2017-02-07
ACTION TAI�N:
~�s�C �e�
t:
StAtus: In Pro�ress ` Snbmittar H�s Bes� ;,. �.
Coutseted
Dxte Compieted: �— l�� L 1 Completed by: ��L�
,
--—__. ,,..�,.,,..,...oa.,..�
643�.�9rs6vQrsitvfl�ven�e N� � (;, ,� y I �.�
��idtev, nn�t ssa�z �
.. 7�3-��2-���s _�I � (� �I I L-� --C' � �
�� �
i !��'°� hereby authorize#he�iiy o#�ra�dley and/or its empioyees to sla what as necessary
replace the water�neter. i understand that�he�ropea�ty omrner as liabte for the sarater line#rom ehe main to the premise and ali irrterior
pturrabing. (Per CFty code 402.06) i also hold the�C'rhj trf F�idley and/'rts empioyees harmless#or any damages that may occus�rhile doing tt
oper,ation. This to include,but nat limfted+to vatves,p9ping,waf{s,fl�nors or the curb stop boz anci service line. In understand!am aiso req
to obtain a permifi prio�r to�ny ieror4c,if necessary.
FINAI.METER READtNG/old mefier)�� � � S "` �
Name: _�.�J KJ'Q.f�'� �G�,L au9m' Address �.2�'"l�� �G�[��l:� �.
Phone Number _ 6�3'— J��— {�.tp- p� �."- �Q,, � ��
Signat�re ��
YV'�ine�Signature
aLD��R�-��� ��O �0 y
OLD READIIVG� v / ��.t.,�G(/
RtEW METER# ���V / ��Q�
NEW REQDIOVG �
�R�� `1 I 4� � C� I 2C� �
FRIDLEY GT1f CODE
Ct-�APTER 402,WATER,SI'ORM WATER i49HD SANITARY SEWER
ADAAlNtSTRATlON
(Ref Ord No 113,Q�&4,565,566,6Z9,638,662,922,988,1144.,i156,1191j
4025 PEiiMl7 FEE
Prior to construct�r�g or repa�r vf any wafier of sewer line connecting the existing muniapat system and arry trouse or buikiir�g fvr which the
appiication is made,the owner or corrtractor shalt be required to obtain a permit for such wnnection,and shall pay a permitfee as prvvided
Chapter 11 af this Code. After such connection i�as been macte,the Water and Sewer Oepartmerrt shall be not�tied. R shaq�untawful to co
any connecting line urrtil an inspection has been made and such connectian and ihe wo�c inciderrt thereto has been approved by the Cfty as a
proper and suitabte connection.
402.06 REPAlRS AND 91►i�11NTENANCE TO CONNECTION
After the initial connectivn has been made to the water sernice curb stop[�x or the sewer lead at the property tine or a water service lead ha
been extended to the praperty iine for connection,the appiicarrt,owner,or�ccupartt or user of such premises shat!be iiabie for all repairs
required to ar�y water line and sewer lines necessary#vr+connection vF the premises from the main to the premises. 1f the property owner
requests mair�tenance service or repairs be performed by the City,the property owner shail be charged for the cosTs af the mairiterrance and/
repairs,inciudiog necessary street repairs at a rate set annualty by an administra#ive policy. It shall be the respoosbility of the applicarrt,
owner,ocEuparrt or user to per-form standard mairrtenance of the sewer serxice tine from the premises to the main 8nduding debris dearing oi
root cutfiing and to mairrtain the water service curb sfiop box for operability and afi such height as wili ensure that it remairis above the finishec
grade of the land or property. (Ref 638,115fi,1191)