Meter Swap UT300I01 CITY OF FRIDLEY CXLIB 1116115
Customer/Location Consumption History Inquiry 11: 14:41
Customer ID: y -76705 Name� NORDSTROM, MEARLIN & DELLA
Location ID: 5T9130 Addr : 501 RICE CREEK BLVD NE
Cycle/Route: 03 ,Z��� Amount due: $.00
Initiation date' � 8/18189 Pending � $.00
Termination date: 0/00/00 Customer status� A Customer/Location status: A
Type options, press Enter .
1=Select 5=View detail 6=Display comment codes
Opt Reading Actual Actual TGAL
Svc T`ype Date Consumption Demand Reading
WA REG 10/31/14 33.00 :00 690.00�='`x"
_ WA REG 7/31/14 9.00 .00 657.00�'''"�'
WA REG 4/30/14 7.00 .00 648.00
WA REG 1/31/14 9.00 .00 641.00
WA REG 10/31/13 26.00 .00 632.00
WA REG 7/31/13 9.00 .00 606.00
WA REG 4/30/13 9.00 .00 597.00
_ WA REG 1/31/13 31.00 .00 588.00 +
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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RESPOND BY: 08111�2014
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SERViCE ADDRESS: 501 R10E CREEK BLVD NE ;
RESPOND BY: 11l10l2014
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501 RICE CREEK BLVD NE �
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SERVICE ADDRESS: 501 RICE CREEK BLVD NE
RESPOND 8Y: 08/112014
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SERVICE ADDRESS: 501 RICE CREEK BLVD NE ;
RESPOND BY: 11/10l2014
UT300I01 CITY OF FRIDLEY CXLIB 11/24/14
Customer/Location Consumption History Inquiry 09:39:20
Customer ID: 76705 Name: NORDSTROM, MEARLIN & DELLA
Locati'on ID: 5�9130 Addr : 501 RICE CREEK BLVD NE
Cycle/Route: 03 14 Amount due� $.00
Initiation date � 8I18/89 Pending • $.00
Termination date� 0/00/00 Customer status � A Customer/Location status � A
Type options, press Enter .
1=Select 5=View detail 6=Display comment codes
Opt Reading Actual Actual TGAL
Svc Type Date Consumption Demand Reading
_ WA REG 7/31/14 9.00 .00 657.00 �-��
_ WA REG 4/30/14 7.00 .00 648.00
_ WA REG 1/31/14 9.00 .00 641.00
_ WA REG 10/31/13 26.00 .00 632.00
_ WA REG 7/31/13 9.00 .00 646.00
_ WA REG 4/30/13 9.00 .00 597.00
WA REG 1/31/13 31.00 .00 588.00
_ WA REG 10/31/12 9.00 .00 557.00 +
F3=Exit FS=Print history F6=Meter inventory F7=Meter svc info
F8=Pendinglhistory trans F9=Budget trans F24=More keys
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, City of Fridley
'' ' Water Devartment
. Address q) ��,�r. C/� �/v�[ � .
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Name e ,����
',, Date � ` �� "��
Old Meter Number �-- � T�
Old Meter Reading b I�d ' _
Reglacement No. �� S '
Replacement Reading (�
: ' Replacement Make ��t„ d�s•�rv '
. , ' Remarks: �l O �
- Signed
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Request Number: 8165
Public Works Division
Service Request
Problem A�ddress: 501 Rice Creek BMd Requested By: Del Nordstrom
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-4554
Scheduled at • 201406-2 Scheduled Time: 07:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-20
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Co pleted
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� ' ' - City of Fridley
--- Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City cocie
402.Ofi) 1 also hotd the City of Frtdiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,�ralls,floors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)_
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Address• ��� �i C-� � ►''-C•t-� 61 vd
Name• -
Phone Number te; �r �`J� f�
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Signature:
Witness Signature:
FRIDLEY CI7'Y C�DE
CHAPTfR 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(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 connecting the existing mus�icipa{system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be�otified. lt shall be unlawFul to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECI'ION
After the initial connection hes been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owne�,
or the occupant or user of such premises shall be liable for all repai�s required to any water line and sewer lines`
necessary for connection of the premises from the main to the premises. If the propecty owner requests ',
maintenance service or repairs be performed by the�ty,the property owner shalt be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
- the sewer seniice iine from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operabitity and at such height as wiil ensure that it remains above the finished
grade of the land or properiy. (Ref 638,1156,1191j