Meter Swap �'�''� ����
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Request Number: 7042
Public Works Division
Service Request
ProblemA�ddress: 6701 Jackson St Requested By: Heather OFteciahl
Department: WATER Address: No address provided
Problemlissue: II�tSTACL MEl'ER Phone Number: 612-387-0670
Scheduled Date: 2013-09-26 Scheduled Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-24
ACTlON TAKEN:
Old meter#17504197 Old readin .�29�90 New meter#44922459 ERT#35159345
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Status: Compieted Resident Contacted ❑
Date Completed: 2013-09-26 Completed by: Pete Gunderson
Hours
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Request Number: 7042
Public Works Division
Service Request
ProblemA�ddress: 6701 Jackson St Requested By: Heather Oftedahl `
Departmer►t: WATER A�ddress: No address provided
ProblerNlssue: INSTALL METER(WATER) Phone Nurr�ber: 612-387-0670
Schedu�d Date: 2013-09-26 �� Scheduled Time: 02:00:00
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AC710N NEEDED: 2013 AMR `
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Created by: Wendy F�att Date Created: 2013-09-24 �
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ACTION TAKEN:
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Status: In Progress Resident Coritacted ❑
Date Completed: Cornpleted by:
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_ City of Fridley
Water Department
6431 Uni�ersity Avenue NE
�� Fridley,MN 55432
(763)572-3566
��We hereby authori=e the City of Fridley and/or its owner
employees to do what is necessary to replace the water meter. i understand that the prop+erty
is liable for the water line from the main to the premise and a��i�s fo ran'damiages that ma yoc�r
402.06) I also hold the City of Fridley and/its employees harmles 'Ytn ���5����or the curb
while doing this operation. This to inciude,but not limited to;valves,p'p g.
stop box and service line. i understand I am aisa required to obtain a permit p�ior to any work,if
necessary. ��
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Final meter reading(old meter) . �
Address. � �
Name� �^� �
. Da �
Phone Number•
Signature:
Witness Signature;
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) _
402A5. PERMIT FEE
Prior to const�ucting or repair of any water or sewer line cannectingo hshall be equiredto'abt in a permit for s ch
or building for which the app lication�s m a d e,t h e o w n e r o r c a n t r a c t
connection,and shall pay a permit fee as Phall be n t fed.tit shall be u lawful to cover any conne'cti g lineeuntil an
made,the 1Nater and Sewer Department s
inspection has 6een made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop be fQ�nnectionl the aPP�ca�t°W e�'
Eine or a water service or sewer lead has been extended to the property lin
or the occupant or use�of such premises shall be liable for all repairs required to any�+ato�ner rn uests r��nes
necessary for connection of the premises from the main to the premis o��ner hali be charged for the costs of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shali be the responsibility of the applicant,owner,occupaf s lear ng orpoot cutting and to ma ntain thef
• the sewer service line from the premises to the main including deb
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request for Service Report
City of Fridley
R eference N o: 601-11-29?0 D ate: 04I08f l l
Requesk Type= Inskall AMR meter Entered By: Wendy Hiatt
Department: Water Citizen Name: Keith•Beyond Home Solutions
Address= 7601 JACKSON ST NE Callback Phone: 952-374-7022
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Scheduled Date_ 04l08111 2=00 PM � Y�i� ��� Property Owner:
Location Details: NIC Per Sandi Hara Y � Request Details: Install AMR
Action Taken:
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Responsible Person: �
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Approver. �
Completion Date: �'Citizen Notified
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