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Re ues� Num er: 6651
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Public Works Division
Service Request
Problem Address: 942 Rice Creek Terrace Requested By: Don Greenwaldt
Department: WATER Address: No address provided
Problemlissue: INSTALL METER Phone Number: 571-5723
Schedu�d Date: 2013-08-14 Scheduled Time: 10:30:00
ACTION NEEDED: 2013 AMR
Created by: We y Hiatt Date Created: 2013-08-08
, �ACTION TAKEN: V
Ofd meter#40488022 Old reading'1�20 New mete►#Sartt��body:�RT#35191408
Status: Completed Resident Contacted �
Date Completed: 2013-08-14 Completed by: Pete Gunderson /
Hours
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'� INSTALLATION
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FRIDLEY
Address �;L1+1 �.��. �V C F�`=� �-t.l�1''.
Name ! / �i' :� 1 � ��...,�;� ., �,1�,,.�. '�
Date � ` � � ��
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Oid Meter Number � s`� y �� � �
OId Meter Reading � � � ��
Replacement Na l� y � � � a �'
Replacement Reading �
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Replac�ement Make .��
Remarks:
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Signed:_s ,
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Request Number: 6651
Public Works Division
Service Request
Problem A�cldress: 942 Rice Creek Terrace Requested By: Don Greenwaldt
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WAlER) Phone Number: 571-5723
Scheduled Date: 2013-0& 4 Scheduied Time: 10:30:00
�Q_ ��` o��
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
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ACTION TAKEN:
........................................................................................................................................................................................................................................................................................................................................................................................................._...
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Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
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'Hiatt, Wendy
Subject: Don Greenwaldt, 763-571-5723, AMR @ 10:30 AM
Location: 942 Rice Creek Terrace
Start: Wed 8/14/2013 10:30 AM
End: Wed 8/14/2013 11:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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.
,
_ City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��W� hereby authorize the City of Fridley and/or i�
employees to do what is necessary to repface the water meter. I understand that the property owner
is liable far the water line from the main to the premise and ail interior plumbing. (Per City code
402.06) i also hold the City of Fridley and/its employees harmless fur any damages that may occur
while doing�his aperation. This ta+nclude,but not limited to;valves,piping,wa��s,flaors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
nece5sary. ���
Finai meter reading(old meter) I��
Name�
Address: � `� �t������
Phone Number•
Date: c���� �'�
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connn�`a�c-t�o�shall hen equi ed oiobtain a permit fo�r such
or building for which the application is made,the owne�or co
connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such connection has been
made,the Water and Sewer Department shal{be notified. it shalt be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cur Q�bP'ne forrc nne t on'the appl cant owner,
Iine or a water service or sewer lead has been extended to the prop rty
or the occupant or user of such premises shait be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the praperty owner requesfis
maintenance service or repairs be performed by the City,e t�eraps�t aWa�e set alnnua ly by an adm ni trat vethe
maintenance and/or repairs, including any necessary str p
po(icy. It shall be the responsibility of the applicant,�n�udinc debris lear ng orpoot cutt ng and to mai tain thef
• the sewer service Ime from the premises to the main i B
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
Cit}+ of Fridley
Reference No: 601-11-2753 Date: 01105I17
Request Type= MalFunctioning meter [pluggedlstoppedJ Entered By: Wendy Hiatt
Department: Water Citizen Name: Donald Greenwald
Address: 942 RICE CREEK TER NE Callback Phone: �� + _ S''��,�
Scheduled Date= 01106I11 2_00 PM�hv Property Owner:
Location Details: Request Details: Change stopped meter
Action Taken:
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iu I c� /�1 t'�tr f� � S ,�"' ` ry� 3 U
c� ta ���4���` `� � $ i-S � o
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Responsible Person: � �/ ,/''
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Approver:
Completion Date: . � Citizen Notified
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City of�ridleTr
�Tate�De�artr�ent
5�31 L?�versi-ty_A�v e�ue 1�a%
Fridley��i T 5��.;2
(i5�) 572-35�I "
Uwe �.e�ebv au�o��,� the Cit-v o�r��ley a�d/or its -
employe�s�o uo �ha�y�e��ssarv t� _;,-�la���.he wai�;r mete�_ i_uude�st�.nd thai;.�e
prop��-iy o�er is 1_iable ior the�vater liue�o�n ihe m�to t�e p�enis�, and all�i�rior
�lu�bi�a- �er�iiy code 402.0� I aaso �old�.e �itt,�;,f Fridley andfor izs e��lo=�etis
�ar.�nless ior any dama.Qes t�aL�ay oc�u�r�vhile �oin:�i�is ope�arion_ This t�inciu�.�.but
noi Lunite�.to; sialves, A1F�n� ti+'all�, foars or tue c:�'� sto�bo�, and sti��ice ]tae. I
u,�.dersr�d I � also requi���.�o obta:;�. a p;�iT p�_o�-te an;r ,� o-�?�, ii"ne;,�ssary.
��ame: A��ess;
l�hone 1�umber: DQte: _
�lffIla�ll'�: ,�r�/-��—!rt_""`���7� L����
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�/1jl�L�SS �1�a.tlll':,: y`\� .�, /1�f�
- � �_.r/ i�
:��� :�� .-�t'�;��i�"`i` `�'�3�� ,
- �.�..3.t(-'��3 i'�3�a�V�_��.3��,�S'�'�1�'3 :'7'r��y`.�r�L33J�131�ji'�.1'S1 �3:�iG'J�i^� �
�iY1Yn sl��liy'����li
(Rei Ord i�T-0 11�,1b�, �o�, �oo', 029, 030, 0'02, 9�?, °�8, 11�4, ll�o, 1191)
�1�2.fl5. ��'��'�+�� ,
P�or to cansuuc�n� or rep�ir o�any�,vaiei or sewer line conaecii�.�the e<,isting municipa,l system and any
hous�or�uiIdin�_or whicn��e a�pi�cation is ma�ie,the o��or cantractor ahall be re:�uirzd to oorain a
pem�it for such conne��icn, a�d shzll nay a per�ni�fee as provide�i m Cha�iea 11 oi-i�is Cod�. �$er•such
cannzc�Qn has oLen�ade.,�he yt7�zT��g��,�e<�epa�--tmen���ll be�o�e�. it shall�e Urlawrui tL co��er
any ecnnec�ng.iine until�iuspecrion has oeen�ade and such canne��on and the wor3�incideni t,��r�to
has been aupreued�y�e Ci�T as a pr�t�er��s�i able canne::tion.
�02.�a. �.��a�:�'d�1�i.��iT'�'�;i�a�'T�:�,�'� �.�i����'���T
.�ftei the i�i-tial.co�ae�iian has be�n na��t����,ya�er servic� c�.�-b stop bon or��e szwer iead a-�u"e
proper��line e�r a wat�:ser�rca 3r seuzer aeaci has b�Un z:�ryndea io i.he pr�ne�-fy line f�r can,:Lecao�.;i�e .
�pplican�, owner, or the cc�upani or sser 3r s�c��remises shall'�e liable Tor ail repa�s i zq_uirzd io any
;vater line �td any se�r-.s liaes ne��ssa�,�zer c��uec�an ol;he nremises som.i3�e ma.in tQ �.he premises. Lf -
the properiy ot��er reauests��nizz�ce se;vrces or re�.aus�e perrormed by The �iry,�e proper;v o�x�ne<
shall be c�arged ior�e costs oi�he znainteLancti a�d/oi:��a�rs, inc3�:dina 8IIV necessar;J sire�t I8F)3ITS,&I 3
rate set�ualiy oy an aamir�is:raii�a polic;r, ?_s�all�e t}ie r�spLnsibiit�r of the a�piic�t, oti��er, o�cn�ant
�r user to pez-'i�rr�.st�dard mainieuanc�nz he sewer servic�'i�e frflm thL pre�.%ses ro tY�e�a:�;ncln�g
de'�i-�s cleax-ing orroot c�stti�g�d io mai�za3n i�e wat�r serzric� curb si�p b��i�r a�eiabilitw and at suc�
hz��t us will ers�re 1-iat;t?-em�s aba��`ue fiais����ade of�,e l�d or�i-o�env. ��i 6�q, 1 i��, 11�!j