Meter Swap .
'' Request Number: 13451
Public Works Division
Service Request
Problem Address: 5991 Gardena Ln Requested By: Martin Schultz
Department: WA1ER Address: No addcess provided
Problem/Issue: INSTALL AMR METEIt Phone Number: 763-571-9354
Scheduled Date: 2017-02-24 Scheduled 1tme: 08:00:00
, -�� 2 ��'` �'
'' ACIION NEEDED:
Created by: Beth Kondrick Date Crented: 2017-02-13
ACIION TAI�N:
� ��1��
Stat�st In Progress Sabmitter Has Been r,
;� Co�acted
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Date Completed:�,� �� Completed by:��`, � �
�,� � )�
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5431 ilesiversity�,vena�e PI� �" \
Fridley, N3(�i 554.32 ��
7�3-5?2-3566 n�
�yt'"�e hereby authorize the City�f Friclley andJor its emploqees to s(o what is necessary to
j re}�late the water�neter. 9�nderstand that the propea�ky owner is liable for the�atater line#rom the main to the premise and all interior
plurrtbing. (Per Crty code 402.06� i also hold the C'cty vf Fridley and��ts emp{oyees fiarmless#or any siamages that may occur while doing this
operatian. This to include,but not Iim�#ed io valves,piping,walis,floors or khe cucb stop bux and service iine. {n understand 1 am aiso requir
to obtain a permifi prior to arry ieror�c,if aecessary.
o�./D ' � `7� 3 �-� ' O �,
FINAL METER ItEADtNG(ak{meter) I'����,�V
fYame:��� J!r��i.�6.. Address _ J 1 i. t� CJN�'-C�� �•
Phone Number ��� ^' � L '�" �� V L Date �`" v'����
�gnature "�'
Wiiness Signature
OLD METER#_�V 1 VIG� (J ��_
OLD READtNC 4�/( l�!�c7 d
NEWMETER#_ �$�v 4���
NEW READ1111G V
���_ `� lg ( `� �1 �71 �
�RIDLEY CITY CODE
CHAP'TER 402.WATER,5'f'ORM WATER AND SANRARY SEWER
ADMINISTRATIOM
,(Ref Orsi No 113,464,565,565,629,638,662,922,988,I144,1i56,1191}
442.5 FERNAiT FEE
Prior to construcCie�g or repair of any water af sewer I�ne connecting the existing municipal system and arry house or buiWing for which t�e
applicatiun is made,the owner or coMractor shaii be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code, After such connection has i�een made,the Water and Sewer Department shall be not�ed. it shail be uniawful to cove
any connecting line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the City as a
proper an.d suitable connection.
402.06 REPAlRS AND MAINTEfYANCE TQ CUlY1�tECT10N
After the ini�tiiai connecfiion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been exfiended to the property line for connedion,the applicarrt,awner,or occupas�t or user of such premises st�atf t�e iiabie for ali repairs
required ta any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property oMrner
requests mai�tenance service or repairs be perFormed by fihe C'rty,the property owner shall be charged f4r the costs af the mairrtenance and/or
repairs,inciuding necessary street repairs at a rate set annuaity by an administra#ive poqcy. It shall I�e ti�e responsibiiity of d�e applicarrt,
owner,occupant oc user to perForm standard mairrtenance of the sewer service line from the premises to fihe maia induding ckbris dearir+g or
root cutting and to mair�tain the water service curb stop box for operability and at such height as wiii ensure that it remains above the#inisFted
grade af the land or property. �Ref 638,1156,1191j