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City of Fridley
Water Det�artment
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Name �c�� �i w .✓` 1'�/C T� .
Date_�' -r� -� U
Old Meter Number g�s ��
Old Meter Reading
Replacement No � �p c�s� �
Replacement Reading C�
� Replacement Make �a,.�s�/'
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' Request Number: 12195
Public Works Division
Service Request
Problem Address: 1323 Skywood Ln Requested By: Deb Wright
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-940-1745
Scheduled Date: 2016-11-08 Sc6edaled 11me: 01:30:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-11-04
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ACTION TAI�N:
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Status: In Progress Submitter Has Been r.
Co�acted
Date Compteted: Completed by:
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Hiatt, IA�endy
Subject: DEB WRIGHT, PH#612-940-1745, AMR INSTALL
Location: 1323 SKYWOOD LN NE
Start: Tue 11/8/2016 1:30 PM
End: Tue 11/8l2016 2:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt,Wendy
1
, - Cii��f Fridfey
- . . __ .. �AJa#�r tDP�a�tmm�n� _ � .�._
� �4�1 Univessi�yy Ar�enue NE
Fridfey,tVt�f 55432
[7b�)5�2-3566
1 jwe bereby authariae the�tY of�ridiey andf or its
+employees#�r do what is necessaay to replace the water meter, !understand that tfie property owner
te t�ahte for tfee water!ir►e fram the main to the pr�mise and afi int�reor plum6ing. {Per Gfy code
402.Q�&) t.als�hold the�y of�ridiey andrts empioyees harsnless or any amages may c� "
white doing ihis aper�tis�ra. Tfiis tsr include:but not limited t+o,uaiy�P�p�nB��is,�taars or the curb
stnp bax and.��rvice line. t understand I am alsa required to�n�permit prior tcs any wa�lc,i�
necessary.
finat me#er readin ald meter) ��� �r�
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Name: Address: --L—�"—
Phnne Numhe�: Oate: � 1"��"�
Ssgna#use•
WI#ness 5ignature�
�RIDLEY ClTlt�CODE
CiiRPT�ER 4[lZ.WA1FE�t,51'�3RNt WATFR,AND�ANtTAl�Y SEWER
,�t�liNtS'�liATt�1�t
{#�ef Ord�!0113,454,565;556,6�9,538,562,922,988,114A�,�156�119�.�
4i�2.05.PEF�MfT FEE �
Priar to canstruc�ing or repair of any water'or sewer linE connec6ng the existing municipal system and any hause
ar buiiding f�r which the application is made,the awner ar s���°r shat{be requifed to abtain a permi�#or such
cc►nrrectianf and shai{pay a pes'mi�#ee as pfovided'srt Cha�ter 11 af th�s Code. ,4fter sucfi cnnnection has 6een
made,the Wafi.er and Sewer Departme�t shal)be nolCiified. lt shall 6e untawfui ta caver any connecting Gne until an
inspection has been made and such cannec�ion and the work incide�t�eceto has been appraved by ifte City as a
prnperand sulta6(e corsnect'son.
40�.OS.REP�►tR5 A111L1 MAiN�"E�iANCE TC���11ttt1VECi7t�1►!
. has „,� tn the water service curhstaa bax nr the sewer lead at the prape�t�
-A#�he-i�i��-craa�z�a--��--_acie
line or a water service or sewer lead has been extended to the propertylin�#or cannecban,the appl��ar►f,nwnes,
or the occupant or user of suct�premises sha4!be lia�bte for alt cepai�req�ired to any waker 1in�and sewer�ines
ne�essary for connectian of#he prernises from the main tu the premises. If the prapetty owner requests
rnaiatenance 5enrice�r repairs h�performed bY the C�t1'.tf�e grop�ty owner shali be sharged for the co5ts of the
. maintenance and/ar r�pairs, inciuding anY necessary street fepairs,at a t�te set annaa(ty by.an adrnlnish'atirre
policy. !t shali be the responsi6ilitY afthe app(icant,owner,accupant or aser to perform standard mafntenance of
� the sewer servic�line fram the prernises ta the main including de�f�clearing or root cutting and to mairttairi the
water�ervic�curh st�p box fnr operability and afi such heigt+t as w�ensure that it remains abave the fittished _ _
::'�ra�e of�t�i�tanci ari�rn�°+.y.�t��63�8,y�5,_�.���:� _. _. ._ -� . _ . � . . ��. . : � _.".
Req uest N u m ber: 7581
Public Works Division
Service Request
Problem A�ddress: 1323 Skywood Lane Requested By: Debra
Department: WA'TER Address: No address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 612-940-1745
Scheduled Date: 2014-03-02 Scheduled Time:
ACTION NEEDED: Turn off water. Broken line inside home.
Created by: Wendy Hiatt Date Created: 2014-03-03
ACTION TAKEN:
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Status: In Progress Resident Contacted �--
Date Completed: Completed by:
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