Meter Swap I 1�`d I�J-�.��0�'
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Request Number: 9319
Public Works Division
Service Request
Problem Address: 7889 Firwood Way NE Requested By: Xiaolong,Shih
Department: WATER Address: No address provided
Problem/Issue: INSTALL�IIt ME1ER Phone Number: 651-214-5952
Scheduled Date: 2014-10-31 Scheduled Time: 09:00:00
ACTION NEEDED:AMR Install �
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N: �
Oldmeter#29786389 Oldreading: 457 70 Newmeter#-Ua�doldbrass ERT#35171652
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Status: Completed Resident Contacted I�
Date Completed: 2014-10-31 Completed by: Ryan Johnson
Hours
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Request for Service Report
City of Fridley
Reference No: 601-11-2890 Date: 03/07I11
Request Type= Turn water ofFlon Enkered By: Wendy Hiatk
Deparkment: Water Citizen Name: Nicky-Realtor
Address: 7889 FIRWUOD WAY NE Callback Phone: 763-432-7640
Scheduled Date: Property Owner:
Location Details: Foreclosure Request Details: Shut water oFf xometime on 3I8I11
Lockbox: 3350
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Action Taken:
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Appro�er:
Completion Date: � Citizen Notified
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Request Number: 9319
Public Works Division
Service Request
Problem Address: 7889 Firwood WayNE Requested By: Xiaolong,Shih
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-214-5952
ScheduledDate: 014-10-31 SchedWedT9me:� 09: 0:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAKEN:
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Status: Tn Progress Resident Contacted ❑
Date Completed: Completed by
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- City of Fridley
. -_ . , _ . ,_. .. WatPr Department - . __.;
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6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763j572-3566
I/we hereby authorize the�ity of fridley and/ar its
employees ta do what is necessary#o replace the water meter. I understand that the property owner
_is liable for the water line from the main to the premise and ali interior plumbing. (Per Cit11 code
402.Q6j i alsa hoid the Gty of Fridley andrts employees harmless r any amages ma -
while doing this operation. This to include,6ut nat limited to;valves,pip�ng,wa�ls�floors or the curb
stop box and service line. I understand I am also required to atrtain a perrnit prior to any work,if
necessary.
�nal meter reading(old meter) � `�' �� " ��
Addr�ss• `�e/ l / ' �Ltf0�0C� L'��!'"�J
Name• •..�
Phone Number Date• /����" �
Signature: ,
Witness Signature;
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STURM WATER,AND SANRARY SEWER
ADMINISTRATION
� (Ref Ord N�►113,464,5fi5,566,629,538,fi62,922,985,1144,1156,1191)
40Z.05.PERMIT FEE �
Prior to constructing or repair of any water ur sewer line connectingthe adsting municipaf system and any house
ar building fo�which the application is made,the owner or cantrador shall be required to obtain a permft for such
connection,and shall pay a permft fee as pravided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. it shall be unlawful to tover any connecting tne until an
inspection has been made and such connection and the work incident thereto has 6een approved 6y the City as a
proper and suitable connection.
402.�6.REPAIRS AND MAINTENANCE TO CONNECTION
Aft�r th����;,���km•,m��p r�rhe water service cur6 stop box or the sewer lead at the propert�
line or a water senrice ar sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occi�pant or user of such premises shall be liable for atl�epairs required to arry water line and sewer lines
necessary for connection flf the premises ftom the main to the premises. lf the propetty ewner requests
maintenance service or repairs be performed 6y the Cfty,the property owner shall be charged for the cn�ts of the
. maintenance and/or repairs, including any necessary street repairs,at a�ate set annually by.an administraUve
poticy. It shall be the responsibility uf the applicant,owner,occupant or user to perfarm standa�d maintenance of
� the sewer service tine irom the premises ta the main including debris dearing or root cutting and to maintain the
� water service cur6 stop box for operability and at such height as will ensure that it remains abave the finished
,.'grade af�tiieiand orpruperfy.�(Re�63g,_Z�S,�'��`��� _- - ^ _.