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Request Number: 7304
Public Works Division
Service Request
Problem A�ddress: 679 Janesville St Requested By: Jeff(Plurr�er)
Department: WATER A�ddress: No address provided �
Probiemllssue: INSTALL METER Phone Number: 763-221-7742
Scheduled Date: 2013-12-12 Scheduled Time:
ACTION NEEDED: InstaN AMR
Created by: Wendy Hiatt Date Created: 2013-12-12
ACTION TAKEN:
Checke dpipe.Water was on to house. House line is froze . Plumber will take care of i� Old meter#34813475 Old
reading: 198 New meter#44922468 ERT#35171783 �
Status: Completed Resident Contacted ❑
Date Completed: 2013-12-12 Completed by: Pete Gunderson
Hours
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Name ,,�,�
Date �-�`]— 6�"
Old Meter Number ����!' � �
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Old Meter Reading �7� '� cJ�
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� Replacement No._ 3���� �i�,r
Replacement Reading d
Replacement Make ���„�
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Request Number: 7304
Public Works Division
Service Request
Problem A�ddress: 679 Janesviile St Requested By: Jeff(Plumber) �.�ip'Tt�
Department: WATER Address: No address provided
Problemllssue: INSTALL Iv�ETER(WATER) Phone Number: 763-221-7742
Scheduled Date: 2013-12-12 Scheduled Time:
ACTION NEEDED: Install AMR
Created by: Wendy Hiatt Date Created: 2013-12-12
ACTION TAKEN:
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Status: In Progress Resident Contaeted ❑
Date Completed: Completed by:
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, �i�jr esf Fridle� .��(`'( �yt�7�
9N'ater p�pastment t�'� a �z �
6�:�1 Uni�r�esity Av�en�e!�� r �? t'' ��.�
Fcidley,MN 5543Z ���7�p�`�l�'�
�7'Fe3�572-3566 ,�S"
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S/we _______ hereby authorize i�C�ty of Fridley and�ar iis
�mplayees tt�do v�l�at is necessary ta rep{ace the water meter. t understand that tite property ow��r
�s tiab0e for the w�ter�1ree from the main La the premise a�nd all tnteria�pfwmbing. (Per City todc
�02.516) I ats�hold the C�rty af IF�idte�and/itk�empitiyees harmt��s�ur any�damag�s that may c�ur
whil��aing this npera:tior�. T4�is to inelude,t�ut�tot 1irn�ted�Co;�raives,plp��g,walls,floors or tfi�e curb
sta�ba�x��d servEce Ile�e. 1�sn�erst�nd 1 am�tso requir�d t�obtain a permtt pr�or to any wark,lf
n�cesxary.
Fina9 m�ter re�d�ng(old meter�____r_�,�,� �� ���.. .._....--
�am�: ___,nddress: �� �;...)�.,'�•t��iL�
Phone Nurttber. [l�te: ��"' ��`� ��
Signature: ....
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Witness S�grr�ture: f. ,t�S,L� .�,._�
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F6tiDL�Y Clll"Y COO!E
CHAP"�IR AQ2.WATEEt,STORM WA7��i,ANO�SANl1`ARY 5EWER
ADMINIS'�'RA71QN -
{Ref tDrd No 213,464,565,Sf6,629,638,fa62.922, 98$� 1144, 1].56, 11�1�
4t32.05. PE�tMtT�E�
��ior to consFr�ctin�ar�epair c�f any�ater or sewe�(isee ca�tnetting the existing�nunicipai 5ystsm and any house
or buii�rng for wttech.*.tie applica#aon as made,the c�wner or�antr�c.tor shaf!be r.'qulr�d to obta6n a�aermit far suth
cor�r�ectio�,and s�all pay a permit fee as prov@ded in Chapter 11 nf th��Code. ��'k�r sesch cannettior�has been
snade,the Vt�ater and S�wer�Je{�artment shall be natified. tt shall be unfa��rff:i to co��r an�connectir�g iine until an
" lnsp��fi's�n has been made and suc#�r.onn�ction ana tkte wrark iracident theret�has��e��pprnve�i bY the City as a
proper and sultable c�nnection.
4AZ.Ofi.RIEPAIRS AND MAIN7EMANC�Td7 tONNECl'ION
After tP,e i,nitia!con�ecclon has beEn made ta the water service cu�b sto�bhx ar the sewer lead at the pr•operty
?ir�e or a watRr servbce or sewer lead has been extended to the property Ein�#�r c�nr�ection,the appllcant,owner,
or the occu�sa�i or user of su�o premises shatt be f�able for att f�pairs rrquired io a��y water iine and sew�r 3in�es
necessary for connect�on of the premfses frorr►the mafn to the premises, if r.t��e property owner req�+ests
mainter�arsGe servite or rep�irs b�p��tormed by the City,th�pro�er�y awn�s shaH be c�arged for th�costs of the
mainter�ance antC/or repairs, incfudirag�ny n�cessary st�eet r�paErs,at a r�te set�nt►ually by an administrativ�
pvl'sry. It shall F�e tFwe .resp�nsibilit�r of the applicant,aw�ery aCcupartt or user ta pPrform statttla�rd maintenanc�n�
the sewer servit�ii��e frum.the�remises to the main in�lucirrg debrts cl�ating c�r�aot cutting and to maintair�ti�e
water a�rvice cu�b stop bax fcsr o�aerabiiity and at�uch height�s will�nsure thai�t r�rrtains�bove the ftnishe�.i
gr�de of tl�e iand or property. {Ref 635,1156,1191)
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