Meter Swap . �' Request Number: 13322
Public Works Division
Service Request
Problem Address: 5951 Garciena Ln Requested By: Doug Dubay
Departme�: WATER �ddress: 5951 Gardena Ln
Fridtey,MN 55433
Problem/Isaue: 1NSTALL AMR ME1ER Phone Nnmber: 612-239-7674
3cieduied • : 2017-02- `� Scl�ed�ledllme: 01:00:0t1
.
ACIION NEEDED:
Cre�ed by: Betli Kondrick D�te Cre�cd: 2017-02-07
ACTION TAKEN:
G4�-Q.d.
: ;,..
�
5tstus: In Progress �bmitter Ha�Been r,
CoMacted
Date Completed: Completed by:
� � — ��� �� �y c 4'�
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�431 i9niv�rsiter Avea��ae N� � � -�j�
Fracl6ey,MIV 554�2
7�3-��-���� .� 1 �:; -�� i� 3 �'� -L�-
F ,j1i1°e her�by authorize the�iity of Fri,dley andJor its e�npioyees to do avhat ds necessarp
� replace the water meter. �understand ti�►at Che property owner as Iiable for the mvater line#rom ehe main to the premise and all imerior
plurrebing. (Per City�osle 402.06� f also hold the City�#Fridley andJ'rts employees harmless for any siamages tftat may�ca�+r whi{e doing tf
operation. This to include,but nat timited to valves,p�pin�walts,�loors or lthe svrb stap box ancl service line. !n understand 9 am also req
to abtain a permit prioa�fio any rvor�,if necessary.
FIAtAL METER READING(old meter !��� i � �
Name: �J � Address � J ✓✓�.
1 ��rd-e�.
Phone Num6er � p� � �Cj���
S'�grttature W�ness S�nafiure
o�D��-�R� ��b� �� i
OLD READtNG `7�� � �� _
t1tEW METER# � �J�� 6 ! �J5
NEW READtiVG�
E�# �7 (� l Z� 2'--� .
�RfDLEY CfTY CODE
Cf#APTER 402.WATER,STORM W�1TER AND SANtTARY SEWER
annn��vesr�noni
(Ref Ord No 113,464,565,�66,629,638,662,922,988,11�44,Ii56,1191)
4Q2.S PERMlT FEE
Prior to constructing or repair of any water of sewer tine connecting the existing muniapal sys�tem and arry hause or buiiding for which the
application is made,the owner or oosrtcactor shalt be required to obtain a permit for such connection,and shali pay a permit fee as provided
Chapter 11 of this Code. After such connection has been rnade,t(�e Water and Sewer Depart�nert shall be noti�ied. 4t sha(t be uniawfuf to�
arry connecting line untii an inspection has 6een made and such connection and the wor6c inaderrt theceio has been approved by the City as a
proper and sutiable con�ectian.
402.05 REPAiRS ARtD MAINTENANCE TQ CONNECf10N
After the initiai connection h�been made to the water sen�ice curla stop hox or the serrer Iead ac the property I;ne or a water service lead ha
been extended to the property line for connectian,the applicarrt,owner,or accupant or user af such premises shatl be liabte f�all repairs
required to arry water{ine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs t�e performed hy the�ty,the}�roperty owner shafi be charged for#ie�af the mairrterrarn;e and�
repairs,induding necessary sCreet repaPrs at a rate set annualty by an administrati�e policy, it shall be the responsbilitY of the a�licant,
owner,ocEupant ar user to perform sCandard mairrtenance of the sewer service tine from the premises to the main inciuding deb�is dearing o�
root caifing and to mair�tain the water service curb stog boK for operabitity and at su+ch fieight as wiN ensure that it remains above the finishec
grade of#he land or property. (Ref 638,1156,1191J