Meter Swap Request Number: 10435
Public Works Division
Service Request
Problem Address: 7398 Melody Dr Requested By: Armando Ventura
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-227-6453
SchedWed Date: 2015-08-18 Scheduled Time: 11:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-08-11
ACTION TAI�N:
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Status: In Progress Resident Contacted G
Date Completed: Completed by:
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Hiatt, U�endy
Subject: Armando Ventura, 763-227-6543, AMR Install
Location: 7398 Melody Dr NE
Start: Tue 8/18/2015 11:00 AM
End: Tue 8/18/2015 11:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt, Wendy
1
� - City of Fridley
- . . . ... Watpr Dppartment _ :,._, ._...
6431 University Avenue NE
Fridfey,MN 55432
(763}572-356fi
1/we hereby autharize t�e��tY af Fridley and/or its
employees to do what is necessary ta replace the water meter, I understand that the property owner
f the water line from the main to the premise and ail interior plumbing. (Per Ciry code
402.06) I.alsa hold the City of Fridley and/its empioyees harmlessfor any amages a may occur
while doing this aperadon. This to include,but not limited to;va(�es�P�P��g•���s,floors or fihe curb
stop box and service line. I understand 1 am also required to ahtain a permit ptior tu any work,if
necessary.
Finai meter reading(old meter) 4 � � �7 �. ' —
Name: Address: ��� ����
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Phone Number• Date:
Signature: ���'�1�� ` �' ��'
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Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER,AN�SANITARY SEWER
ADMINfSTRATIt}N
(Ref Ord No 113,464,565;566,6Z9,638,662,92Z,988,1144,1156,1191J
4U2.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connectingthe e�dsting municipal system and any house
or building for which the applicatian is made,the owner or contractorshall be required to obtafn a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the 1Nater and Sewer Departrr►ent shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incidentthereto has heen appraved by the City as a
proper and suitable�onnection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���p�p��� ____.,.,,,+„rhp�yater service curh stop box nrthe sewer lead atthe propert�
line or a water service or sewer lead has been extended to the propertylme for connection,the applicant,owner,
ar the occupant or user of such premises shall be liabte for all�epalrs required to any water line and sewer lines
necessary for connection of the premises from the main tu the premises. If the propetty awner requests
maintenance service or repairs 6e perfarmed by the City,the praperty owner shall be charged for the costs af the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsi6ility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main including dehri5 clearing or root cutting and tn maintain the
water service curh 5top box fur operability and at such height as will ensure that it remains above the finished
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::grade af�ti7�'lard or�ro�cr�y.��ReE 630,L1JV,.1�91:� .. .. . - . - - . _ . .._ .
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Request Number: 10124
Public Works Division
Service Request
Problem Address: 7398 Melody Dr Requested By: Gary Bulman on ca11
Department: WATER Address: No address provided
Problem/Issue: WATER SERVICE LEAK Phone Number:
Scheduled Date: 2015-OS-25 Scheduled Time: 04:OO:OQ
ACTION NEEDED:Water main break
Created by: Wendy Hiatt Date Created: 2015-OS-26
ACTION TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Completed by:
Hours `
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Hiatt, Wendy _
From: do_not_reply_mn@korweb.com
Sent: Monday, May 25, 2015 4:45 PM
To: gsrequest
$ubject: Ticket 151450272 Sent by GSOC One Call
KORTERRA 706 CITY-LOCAL-1 151450272 Seq: 2 05/25/2015 16:45:06
Gopher State One Call Locate Request
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Ticket Number: 151450272 Old Ticket:
By; AMBER.G Source: VOICE
Type: EMERGENCY Date: 5/25/2615 4:43:48 PM
Send To: CFRDlY01 Sequence: 2
Company Information
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CITY OF FRID�EY Type: GOVERNMENT
6431 UNIVERSIT( AVE
FRIDLEY, 'MN 55432
Caller: GARY BULMAN Caller Phone: (763) 238-8069
Contact: GARY BULMAN Contact Phone: (763) 238-8069
Company Phone: (763) 572-3566 Company �ax:
Company Email:
Work Information
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State: MN Work Date: 05/25/2015 4:45:00 PM
County: ANOKA Done For: CITY OF FRIDLEY
Place: FRIDLEY
Street: 739� MELODY DR NE
Intersection: BALLET BLVD �
Type of Work: WATER MAIN
Explosives: No Tunnel/Bore: No
Right of Way: Yes Duration: 4 HOURS
Remarks
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EMERGENCY REPAIR WATER MAIN
MARK A 50 FT RADIUS OF ORANGE CONE IN ROW IN FRONT OF ABOVE ADDRESS.
CALLER REQUESTS PAINT AND FLAGS.
Members
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Code Name Phone Number
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MINGA503 CENTER POINT ENERGY - MINGAS03 (800) 778-9140
CFRDLY01 CITY OF FRIDLEY - CFRDLY01 (763) 572-3566
COMCST03 COMCAST - COMCST03 (612) 522-8141
XCEL08 XCEL ENERGY - XCEL08 (800) 848-7558 ,
CTLMN01 CENTURYLTNK - CTLQL (855) 742-6062
1