Meter Swap � • Request Number: 10987
Public Works Division
Service Request
Problem Address: 5641 4th st Requested By: Hany Onar
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-229-0978
Scheduled Date: 2015-12-07 Scheduled Time: 02:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2015-12-04
ACTION TAKEN:
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Status: In Progess Resident Contacted ❑
Date Completed: Completed by:
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- Ciry of Fridley
- . :_ :.... Wat?r Department
.... _ .�._, �.__.
6431 University Avenue NE
Frid(ey,MN 55432
(763)57Z-3566
���� hereby autharize d�e�tN��diey and/ar its
employees to do what is necessary ta replace the water meter, I under�and that the property uwner
1s liabte far the water line from the main ta the premise and atl���r�a'plumbing. (Per CitY code
402.Q6) I.alsa hold the City of Fr�dley and/iis empioyees harmk�ssfor any damages ina ma o -
while doing this operation. This ta indude,but not timited to;vaWes�pip��B.��+�0°�or the curb
stap box and service line. I u�derstand i am also required to�a Pe��P�or to any work,ff
necessary.
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Final meter reading(oid meter) � .
Address: ��_ ���`��
Name• �
. Date• �� �_I�
Phone Number•
• ���L� Signature•
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Witness 5ignature•
FRIDLEY CITY CC1DE
CHAPTER 4�t.{NATEa,STORM WA7ER,AN��4NITARY SEWER
�( ADMINISTRATIUN
� � (Ref Ord No 113,464,565,566,6Z9,638,662,9Z2,988,1144,1156,1191)
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� 4AZ.05.PERMR FEE �
Prior to constructing or repair of any water or sewer line connecfingthe odsting municipal sy�tem and any hause
ar building for which the application is made,the owner or cantractor shall be required to obtafn a permit for wch
wnrtection,and shall pay a pe.�mit fee as provided in Chapter ii of ihi�Code. After such connecctian has been
made,the Water and Sewer Department shall be natified. it shall 6e unlawful to cover any connecting line until an
inspection has been made and such canneedon and the wark inddentthereta has heen approved by the City as a
proper and sWtabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIQN
�_�...,.�;,e..,�ra�cPrvice eurh ston hox orthe sewer lead atthe propert'
-A�-�bE-Ipit118 • -
line ar a water service or sewer lead has been extended to the propertylme f�r co�necbon,the apptican�owner,
or the occiipant or user of such premises shail be 1ia61e far al(�epa4s required to any water line and sewer lines
necessary for cannection of the premises from the maln to tf►e premises. If the prop�tty owner requests
maintenance 5ervice or repairs he performed by the City,the property owner shall be tharged for the coskt of the
. maintenance and/ar repairs, induding any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsi6ility of the aPP�i�ant,awner,occupant a user to perfarm standard maintenance of
• the sewer service line from the premise5 ta the main including de�is dearing or rout cutting and to maintain the
water senric�cur6 stop 6ox for operability and at such height as wal en�ure that it remains abave the finished .
- ' .. . .. . . . . � . .
::,�,ade�f t�i�larrd or�rop�r�y.-�Re�63�,1,�55,.1.���:) .__ . ._ ._ ..._ ... _ ..._ . ... . _._. _.... .-- �
Request for Serti+ice Repart
City of Fridley
Reference No: 601-11-3051 Date: 05I16I11
Requesk Type: Turn waker ofFfon Entered By: Wendy Hiatt
Department: Water Citizen Name: National Realty Guild
Address: 5641 4TH ST NE Callback Phone:
Scheduled Date= 05I76}71 11:30 AM Property Owner:
Location Details: x"'BILLxx"' Requesk Details_ Turn water on
Action Taken:
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Responsible Person: `---'"`� �
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Approver.
Campletion Date: Q Citizen Notified
5 /�� i/
Request for Service Repart
City of Fridley
Fi eference N o: 601-11-2899 D ate: 03/10111
Requext Type= Turn water oFFlon Entered By: Wendy Hiatt
Department: Waker Citizen Name: Adrianna-Realtor
Address: 56d1 4TH ST NE Callback Phone: 651-330-8001
Scheduled Date: Property Owner:
Locakion Details: Lockbox: 2814. Located on upper le�el Request Details= Shut water oFF
side door.
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Action Taken:
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Fiesponsible Person: ;' S _ ���--�
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Approver:
Completion Date: _� � _„�� — � ( _______� ❑ Citizen Notified
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