Meter Swap �� ����- �o� c��o
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Request Number: 8337
Public Works Division ^ �O( „
Service Request `� W
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Problem Address: 218-69th Ave NE Requested By: Roxanne Mrocek
Department: WATER Address: No address provided
Probiem/Issue: INSTALLAMR METER Phone Number: C-612-819-1476
Scheduled Date: 201407-17 Scheduled Time: 11:00:00
ACTION NEEDED: AMR install
Created by: Cheryl Pellegrin Date Created: 201407-03
ACTION TAKEN:
Old meter#35510525 Old reading: 02 30 New meter#44921240 ERT#35171896
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Status: Completed Resident Contacted ❑
Date Completed: 201407-17 Completed by: Ryan Johnson
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eity of Fridley
Water DeAsrtment
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Address � �-"� �
Name ,�,r.� c�l o �i�r,�,.G�
Date c��,�"d l -
Old Meter Number �
Old Meter Reading �
Rep�acement xo. 3S5 to5�5
Replacement Reading �
Replacement Make �./9'�(�
Remarks: (�L� /�b'��2
Signed
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UT300I01 CITY OF FRIDLEY CXLIB 2/19/09 •
� Customer/Location Consumption History Inquiry 09 : 21 : 19
Customer ID: 58315 Name: DEUTSCHE BANK NATL TRUST CO �
Location ID: 501030 Addr: 218 69 AVE NE
Cycle/Route: 03 02 Amount due: $87 . 53
Initiation date : 5/04/84 Pending . $25 . 00
Termination date: 0/00/00 Customer status: A Customer/Location status: A
Type options, press Enter.
1=5elect 5 View detail 6=Display comment codes
Opt Reading Actual Actual TGAL
Svc Type Date Consumption Demand Readinq
WA REG 10/31/08 13. 00 . 00 7161. 00
WA REG 7/31/08 39. 00 . 00 7148 . 00
— WA REG 4/30/08 12 . 00 . 00 7109. 00
WA REG 1/31/08 � 12 . 00 . 00 7097 . 00
� WA REG 10/31/07 13 . 00- . 00 7085. 00
— WA REG 7/31/07 39. 00 . 00 7098 . 00
' WA REG 4/30/07 5. 00- . 00 7059. 00
WA REG 1/31/07 12 . 00 . 00 7064 . 00 +
F3=Exit F5=Print history F6 Meter inventory F7 Meter svc info
F8=Pending/history trans F9=Budget trans F24=More keys
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Request Number: 8337
Public Works Division
Service Request
Problem Address: 218-69th Avie NE Requested By: Roxanne Mrocek
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: G-612-819-1476
Scheduled Date: 201407-17 S e uled Time: 11:00:00 �
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ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 201407-03
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compfet b :
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_.. ._.. . - City��Fridiey
• --� Water Department �- --- -
6431 University Avenue NE-
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty ofi Fridley andior its
employees to do what is necessary to repiace the water meter. I understand that the property owne�
is liahle for the water line from the main to the premise and all inte�ior piumbing. (Per City code
4Q2.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operai�on. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. t understand 1 am also required to obtain a permit priar tio any work,if
necessary.
Final meter reading(old meter) �������
Name: Address: l�i C� `� ` � ��� ,
Phone Num Date: `�` �� ��
Signature�
K Witness Signature:
FRIDLEY CITY C�DE
CH R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any hous�
or building for which the application is made,the owner or contractor sheli be required ta obtain a permit for such
eonnection,and shall pay a permit fee as provided in Chapter 11 of this Code. After 5uch connection has been
made,the Water and Sewer Department shall be notified. It shali 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
praper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIOIY
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the applicant,owner,
ar the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines
necessary for connection of the premises frum the main to the premises. if the propecty owner requests
maintenance service or repairs be performed by the C+ty,the property awner shall be cha�ged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It sha{I be the responsibility of the applicant,owner,occupant or user to pe�form standard rnaintenance of
• the sewer service line from the p�emises ta the main including debris clearing or root cutting and to maintain the
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)