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I����� Request Number: 6634
Public Works Division
Service Request
Problem A�ddress: 871 Rice Creek Terrace Requested By: Anna Karnpa
Department: WATER Address: No address provided
Problemllssue: INSTA�L METER Phone Number: 507-429-1043
Scheduled Date: 2013-08-12 Scheduled Time: 11:30:00
ACTiON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-OS
ACTION TAKEN:� ✓
Oid meter#40488031 Oid readin� 4�G 00 New�et�#Sa�'r��ERT#35191702
Status: Co�leted Resident Contacted ❑ �
Date Completed: 2013-08-12 Corr�leted by: Pete Gunderson
Hours
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'� INSTALLATION:
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FRIDLEY
Address D �� /'���ce C.-v�� T Y1/
Name � a� �-. /�.°�.ew�a yf'.c,,�
Date � — 1�— 1�
Oid Meter Number ���3 3 � 3 d � _
Old Meter Reading ��
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Replacement No. ��� ��� 3 �
Replacemer�t Reading �
Replacement Make ��65-�-�
Remarks: � <� 1'�^��`
Signed: �
Request Number: 6634
Public Works Division
Service Request
Problem Address: 871 Rice Creek Terrace Requested By: Anna Kampa
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 507-429-1043
Scheduled Date: 2013-08-12 Scheduled Time: 11:30:00
� �
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Anna Kampa, 507-429-1043, AMR @ 11:30 AM
Location: 871 Rice Creek Terrace
Start: Mon 8/12/2013 11:30 AM
End: Mon 8/12/2013 12:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
i
. City of Fridley
Water Department
6431 University Avenue NE
- - Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridlsy and/or its oWner
� employees to do what is necessary to replace the water meter. 1 understand that the propertY
is liable for the water line from the main to the premees harmless fo rany damjages that may occeur
402.06) I also hold the City af Fridley and/its employ
while doing this operation. This to inciude,hut not limited 000b�ain a perm t�prioir to any work if u�
stop box and service line. I understand I am also required t
necessary. �
Final meter reading(o(d meter) � �,� C --7-
Name: Ardress:
Phane Number•
Date: C.�" r�►_r�
w
Signature:
�
Witness Signature:
� FRIaLEY CITY CaDE
CHAPTER 402•WATER,STORM WATER,ANU SANI7'ARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566r 629,b38,662,922.988�1144�1156,2191) f _
402.05. PERMIT FEE
� Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the applicatian is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of ehunlawful to cover any conne�cti g lineeuntil an
made,the Water and Sewer Department shall be notified. It shall b roved b the City as a
inspection has been made and such connection and the work incident thereto has been app Y
proper and suitable connectian.
402.06.REPAfRS AND MA{NTENANCE TO CONNECTION
After the initial cannection has been made to the water service curb��A`ne forrconn ct onl the app cant owner,
line or a water service or sewer lead has been extended to the property '
or the occupant or user of such premises shall be liablen{o theepemisesulf he p op rty owner requests r��nes
netessary far connection of the premises from the ma p owner shall be charged for the costs of the
maintenance service or repairs be perfarmed by the City,the propertY an administrative
maintenance and/or repairs, inctudof the an�l cantr ow ert u cupant or user to perforn'�standard maintenance of
policy. It shall be the responsibil�ty PP
• the sewer service line from the premises to the main h hIe dh as w II ensure t at t ema ns above the finished he
water service curb stop box for operability and at suc g
grade of the land or property. (Ref 638,1156,1191)
Request far Service Report
�, • City of Fridley
Reference No: 601-11-2763 Date: 011lllll
Request Type= Leaking meter Entered By: VJendy Hiatk
Department: Water Citizen Name: John Mewhorter
Address: 871 RICE CREEK TER NE Callback Phane: 763-706-7248
. , ... . �
Scheduled Date_ ����r Property Owner.
Location Details: Request Details: Change meter that has condensation
in it.
Action Taken:
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Responsible Person: �
Approver:
Completion Date: � �� ��� � Citizen Notified
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