Meter Swap Request Number: 7236
Public Works Division
Service Request
� Problem Address: 8295 Riverview Terrace Requested By: Mark W iggen
Department: WATER �Idress: No address provided
ProbleMissue: FIRE HYDRANT(WATER) Phone Number: 763-783-2286
Scheduled Date: Scheduled Time:
ACTION NEEDED:Yellow fire hydrant in his yard is dripping. Fire Dept,told him it bebngs to Pubtic Works.
Please check and call homeowner.
Created by: Wendy Hiatt Date Created: 2013-11-20
ACTION TAKEN:
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Status: in Progress Resident Contacted ❑
Date Completed: Completed b -
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REQUEST FOR SERVICE REPORT
CITY OF FRIDLEY
Reference No. � (�0 �� Date: � �^ �� � �
Request Typ�: Entered By:
Departrnent: Citizen Name: �(Zl����C�
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Address: �;� ����vl�� (��` Phone Number: �
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�63--z�3 aa86
Scheduled Date: Property Owner:
Location Details: Request Details:
Action Taken: �a ���� ��,,,�,�
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ResponsibLe Person: �
Approver:
- Completion Date: �1 _ �` � Citizen Notified:
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- City of Fridley
- . :_ -... Wat?r aepartment
6431 University Avenue NE ~
Fridley,MN 55432
(763)572-3566
��w� hereby auttwri�e d�e�L11 of kldley and/or frts
employees to do what is necessary to replace the water meter, I w�de�and that the prope fi►uwn�
is liahle for the water tine from the main#�a the premise and atl interiar plumbi�. (P�`t�t11� _
402.Q6) I.alsa haid the City af Fridley and f iis employees harn�s�r any aamaBes tna�mdr��
while doing this operation. Thls ta indude,but not limited to,va�r�►p+�ing,walls,floors or the curb
stop box and service fine. I understand 1 am also required to aht�n a Permit prio�ta any work,ff
necessary.
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Final meter readin old meter) " ' `�'�
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�� ` � Address:�7 L-� � �`�°�`.��'" `"'rr��
Name• �l �.-------- � � � �C�C �J ���/ .
� PhoneMumber:��P�7 ate: � � ��s c �' J `'� ��
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� Signature: � '�� � �
Witness Signature:
� FRIDLkY CITY Ct7DE
CHAP'tER 402.WATER,STORM WATER,M1D SAN(1'ARY 5EWER
AdMINISTRATiDN
(Ref Ord No 113,454,565;566,6Z9,638,66Z,922,9&8,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer tine connectingthe existing muniapal system and any house
or building far which the appGcation is made,the owner ar contrac�r shatl be required to abtatn a permit for sueh
conrtettian,and shall pay a permit fee as provided in Chapter 11 of fhis Code. After such cannectian has been
made,the Water and Sewer Department shali be notified. It shall�unlawful to cover any c�onnecting iine until an
inspection has been made and su�h connertion and the work incid�tthereto has heen app�oved by the Gty as a
properand suttable connectlon.
402.06.REPAIRS AND MAINTENANCE TO C�NNECTI�N
��A���� ...+.,+n�,a�►ater service curh st�bnx or the sewer lead atthe propert'
line or a water servtce or sewer lead has been extended to the propertytme for connec�ion,the appiicant,awner,
or the oca�pant or user of such premises shall be liable far al(�epa�s required to arry wate�line and sewer lines
necessary for connection of the prernises from the main to the premises. If the prop�tty owne�requests
maintenance servfce�r repairs 6e performed by the CitY,the Praperly owner shall be charged for the cflsts of the
. maintenance and/or repairs, induding��11 necessaN street repairs,at a rate�et annually by.an administrative
poticy. it shaN be the responsibiliry af the applicant,owner,occupant a user ta perfomt standard m�lntenance of
• the sewer servic�line from the premises to the main inciuding del�s clearing or raot cutting and to maintain the
water servic�cur6 stop box fur.operebility and at such height as wql ensure that it remains abave the Bnished. _
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,,.g�,ade�f ti�e�iarid or�rop�r�y.•�ReF63$,1#55,.t�9�: .� . _ ..._ ... ..._ ..... . . . . ---.
Request Number: 10759
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Public Works Division
Service Request � /��
M�1
Problem Address: 8295 Ri�rview Ten Requested By: ���
Department: WATER Address: ��ovided �
Problem/Issue: WATER SERVICE LEAK Phone Number: 763-783-228b
Scheduled Date: Scheduled 13me:
ACTION NEEDED:Possible service leak.Water trickling out at the end of driveway near curb.
Created by: Wendy Hiatt Date Created: 2015-11-OS
ACTION TAI�N: '
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5tatus: In Progre� Resident Contacted �
Date Completed: Completed by: �
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