Meter Swap ��-�'�
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Request Number: 7054
Public Works Dinrision
Senrice Request
Problem Address: 6821 Hickory St Requested By: Harry Bolcom
Departmerrt: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 612-747-0128
Scheduled Date: 2013-09-26 Scheduled Time: 07:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Niatt Date Created: 2013-09-25
ACTiON TAKEN:
Old meter#6089662 Old reading: 315 70 New meter#44920814 ERT#3515 62
Status: Completed Resident Co�acted ❑
Date Corr�rleted: 2013-09-26 Compfeted by: Pete Gunderson
Hours ,
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Requ�st Number: 7054
Public Works Division
Service Request
Problem Address: 6821 Hickory St Requested 8y: Harry Bo�om
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WA'fFR) Phone Number: 612-747-012$
Scheduled Date: 2013-09-26 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
--
Fridley,MN 55432
(T63)572-35fi6
��We hereby authorize the City of�ridley and/or its oWner
� employees to do what is necessary to replace the water meter. I understand that the C°�de
is liable for the water line from the main to the premise and all interior plumhing. (
402.06) I also hold the City of Fridley and/its emp���i�rt d o Ivalve5 piping,uva��s.floors°r tf�e cu�b
while doing this operation. This to include,but n
stop box and service line. i understand I am aiso required to obtain a permit prior to any work,if
necessary. � � �
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Final meter reading�old meter)_______�r— �� —
Name.
t3� 1(� Address: , ��C��
t fD3-� 1 r��-8 � Date: 1 �� t� _
Phone Numbe � '
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADM�NISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191} _ _
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting t shall ben eq�edto'obta n a permit for such
or buiiding for which the application is made,the owner or contractor
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1l�tater and Sewer Department shall be notified. It shall be unlawful to cover any oved by the City as an
inspect+an has been made and such connectiorr and the work incident thereto has been app
proper and suitabie connedion.
402.86.REPAIRS AND MAINTENANCE TO CONNECTION
A#ter the initial connection has been made to the water service curb�aP'ne forf nnection'the appl cant owner,
4ine or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shall be liable for aU repair5 required to any WatOWner requests r��nes
necessary far connection of the premises from the main to the premis o���er shall be harged for the costs of the
maintenance service or repairs be performed by the�ty,the praperty an adminisCrative
maintenance and/ar repairs, includ'��nf the anpl'�nt ownert o cupant or user to perform standard maintenance of
po[icy. It st�ell be the responsibility P
� the sewer service line from the premises to the m such he gh as w II en ure t at t mains abo e the fin shed e
water service curb stop box for operabiliry and a
grade of the land or praperty. (Ref 638,1156, 1191)
Request Number: 9400
Public Works Division
Service Request
Problem Address: 6821 Hickory St Requested By: Ann Bolcum
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ON/OFF Phone Number: 612-308-2096
Scheduled Date: 2014-11-06 Scheduled Time: 01:00:00
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ACTION NEEDED:Turn off water for repair.Leave key for plumber to tum back on***BILL***Plumber will pu11
Pernut
Created by: Wendy Hiatt Date Created: 2414-11-06
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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