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REQUEST FOR SERVICE REPORT
CITY OF FRIDLEY
Reference No. ��'�� Date: � - ,3 - IS
Request Type: Entered By:
De artment: ���� Citizen Name: ►t t ��c�('�1��us
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Address: �,��� ` � Phone Number: �ra 3a
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Scheduled Date: �-I3 ' �S � �`�d Property Owner:
Location Detaiis: Request Details:
Action Taken:
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Responsible Person: �--
Approver:
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Com letion Date: � � 1� l Citizen Notified:
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Hiatt, Wendy
Subje�t: Will Reynolds 612-208-6392 meter old/stopped for several years, needs 5/8"AMR installed.
Location: 5339 4th St NE
Start: Mon 4/13/2015 1:30 PM
End: Mon 4/13/2015 2:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
This is 2 unit and meter is in common room. Owner hid key to back door in coaxil? Box to left of door. Box is upper box
marked for lower unit. Key is inside. Meter is downstairs to left in utility room. I wasn't sure if guys would be ok to
enter without someone there, but is common area. Call the owner Will if concerns.
Thanks
Sandi
. 1
• ` - City af Fridley
- ` . . ;.... Wat!�r Qppartment
6431 Uni�ersity Avenue NE �
Fridley,MN 55432
(763)57Z-3566
i/we hereby autharize il�t�tY��dr'aY and/or its
employees to do what is necessary ta repiace the water meter. I understand tfiat the property owner
�i.cllahle�r the water line fram the main to the premise and all in�rior plumbing. (Per Citj►_cade
402.Q6) I.alsa hold the Ciiy of Fridley and/its empioyees harml�ssfor any damages tnat may occur-
while doing this aperadon. This tu'rndude,but not limited to;rrahres►Pipmg,walis,floors or the curb
�top box and servi�line. I understand I am also required to ohta(n a permit priar to any work,ff
necessary. � '
a �d �L���
Final meter reading(old meter� .
Name�
Address' ���� ~ � �S( —
Phone Number: Date• �`l✓� I�
5lgnature: +�+O �.�� w J��� ��
Witness Signatur�:
� ��at.�r cmr conE
CF1ApTER�402.WATER,STORM WATER,ANO SANITARY SEWER
A�MINiSI'RATItIN
(Ref Ord No 113,454,555;566,629,638,66Z,922,988,1144,1156,1191)
402.Q5.PERMIT FEE �
Priar to constructing oi repair af any water ar sewer Itne connectingthe existing municipat system and any house
ar 6uitding for which the applicatian is made,the owner or eontractor shall be required to obtain a permit for such
canr�ettinn,and shall pay a permit fee as provided in Chapte�11 of this Code. After such conneetion has been
made,the Water and Sewer Department shall be notifled. it shail be unlawful to caverany connecting tine untit an
inspection has been made and such cannection and the work lncident thereto has 6een apprnved by the City as a
proper and suitable connectfon.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIQN �
����p��� ..__,___�___�..a..+,,,a,o��arp�Service cur6 stao bnx or the sewer tead at the propert�
line or a water service or sewer lead has been extended to the propertyiine far connection,the appticant�owner,
or the occupant or user af such premises shail be iiable for atf�epairs required to any water{ine and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�ty owner requests
maintenance service�r repairs be perfurmed by the City,the property ovuner shaU be tharged for the casts of the
. maintenance and/or repairs, including any necessary street repai�s,at a rate 5et annuatly by.an administrative
policy. It shati be the responsihil'�ty af the applicantl uwner,occupant or usec to perFarm Standa�d maintenance af
• the sewer service line ftom the premises to the main including de6ris clearing flr raot cutting and to maintaln the
� water service curb stop box for aperability and at such height as wiil ensure that it remains above the�inished .
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Request Number: 10448
Public Works Division
Service Req�st
Problem Address: 5339 4th St Requested By: Holly w/Plumb Rite Plumbing
Department: WATER Address: No address provided
Problem/Lcsue: TURN WATER ON/OFF Phone Number: 763-561-3306
Scheduled Date: 2015-08-17 SchedWed Time: 09:00:00
� S� `l� C�;(Y�
ACTION NEEDED:Turn off water for repair.Advised them to pull permit.****BILL****
Created by: Wendy Hiatt Date Created: 2015-08-13
ACTION TAI�N: .
.
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............................................................................................._..................................._............................................................._.......................................................................................................__............_...._.._____.._............_
Status: In Progress Resident Contacted ❑
Date Completed: Complet y:
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- City of Fridley
- _ .. W�fi.�r Departm�nfi
.....
6431 University Avenue NE �
Fridley,MN 5543Z
(763�57Z-3566
���e hereby authori=e the GtY of Fridtey and/or its
empiayees to do what is necessary to replace the watermeter. I►�ler�a�d�+at�P��Y°W"er
1s liabfe for the water line ftom the main ta the premise and atl fit�rior plum6ing. (Rer City code
402.�) 1 alsa hold the City of Fridley andJ'�ts employees ha Irm�flr any damaBes tt�a ma -
while doing this operation. This to include,but nat limited ta;val�es,piping,watis,flaors or the curb
stop bux and service line. I understand i arn also required to o6t�n a permit prior to any work,if
, necrssary.
f�nal meter seading(old met+er� .
Name: Address: .
Rhone Number: Date:
Signature:
Witness Signature:
�RIDLEY CITY CODE
CHAPTER 402.WATER,570RM WATER,AND SANITARY SEWER
ADMINI5TRATICIN �
(Ref Ord Nn 113{464i 565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT fEE -
Prior to constructing or repair of any water ar sewes tine connecting the e�dsting municipal system and any house
or building for which the appfication is made,the owner or contraetor shall be required tn nbtain a pe�mit far such
connectian,and shall pay a permit fee as pravided in Chapte�11 of th�Code. After such cannectian has been
made,the 1Nater and Sewer Department shai{be notified. It shall be un4awful to caver any cannecting Gne until an
lnspection has been made and such connection and the wark i�ttdent thereto has been apprnved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENAIVCE TQ GONNECiION
�pa-iaida. .. . .
___—_a��.,+ti��•,,rp��p�ce curh stou box or the sewer lead at the propert�
li�e or a water service ur sewer lead has been extended to the property line for connecdon,the applicant,owner,
or the occupant or user of such premises shall be liabie for al(�epairs required to arry water line and sewer lines
necessary for connection of the prernises from the main ta the premises. If the prop�tty owner requests
maintenance service or repairs 6e performed by the City,the property awner shali be charged for the cnsts of the
maintenance and/or repairs, including any neces�ary street repairs,at a rate set annuafly by.an administrative
po(icy. It shal{be the responsi6ility af the aQplicant,owner,accupant or user to perForm standard maintenance of
• the sewer service{ine from the pcemises to the main inciuding debris ciearing or root cutting and to maintain the
water seniice cur6 s#ap box for operability and at such height as will ensure that it remains abuve the finished
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