Meter Swap � �lU��� � '1��� 1�
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Request Numbe j�334
Public Works Division ��
Service Request
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Problem Address: 6740 Plaza Curve Requested By: Clem Nagel
Department: WATER A�ddress: No address provided
Problemllssue: IN5TALLAMR METER Phone Number: 763-572-0633
Scheduled Date: 201407-14 Scheduled Time: 11:00:00
ACTION NEEDED: InstaAAMR
Created by: Cheryl Pellegrin Date Created: 201407-02
ACTION 1'AKEN:
Old meter#36077843 Old reading: 834 360 New meter#44921228 ERT#35159481 " '
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Status: Completed Resident Contacted ❑
Date Completed: 201407-14 Completed by: Ryan Johnson
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Water Department
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Name ��l\, /V �
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Old Meter Reading S(�
Replacement No._ �j � � g�?,
Replacement Reading �
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Signed
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Request Number: 11067
Public Works Division
Service Request
Problem Address: 6740 Plaza Cwve Requested By: Cindy wlJerry's Plumbing
Department: WATER Address: No address provided
Problem/Issue: T[TRN WATER ON10FF Phone Number: 763-252-4268
Scheduled Date: 2015-12-30 Scheduled 15me• 12:45:00
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ACTION NEEDED:5hut off water.Leave key.Plumber was advised to pull permit.***BILL***
Created by: Wendy Hiatt Date Created: 2015-12-30
ACTION TAI�N:
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Status: In Progess Resident Contacted C?
Date Completed: Completed by:
Request Number: 8334
Public Works Division
Service Request
Problem Address: 6740 Plaza Cunre Requested By: Clem Nagel
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-572-0633
Scheduled Date: 201407-14 Scheduled 7i : 11:00:00
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ACTION NEEDED: InstallAMR
Created by: Cheryl PeAegrin Date Created: 2014-07-02
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete by:
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- _ City of Fudley .
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° � --� Water Department � ---
�\ 6431 University Avenue NE
Fridley,MN 55432
• � (763)572-3566
��, I/we hereby authortze the�ty of Fridley and/or its
� employees to do what is necessary to replace the water meter. i understand that the properly owner
is liable for the water line from the maln to the premise and ail ir�terior plum6ing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operabiion. This to include,but�ot limited to;vaives,piping,walis,floo�s or the curb
stop box and service line. 1 understand i am also required to obtain a permit pHor to any work,if
necessary.
Final meter reading(old meter) ���� � `v v
� Name• _ Address• ��� �1�4.U�_.(�{V�
Phone Number: ��l����
Date:
Signature: �
Witness Signature:
FRiDLEY CITY CODE
CHAPT 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,56fi,624,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any haus.e
or building for which the application is made,the owner or contractor shall be required to obtaiA 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 notified. It shall be unlawful to cover any connectin�lizs until an
inspection has been made and such connection and the work incident therefio has been apnr�bed by the Cty as a
proper and suitable wnnection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water service cu�b stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property Ilne for connectio�,the appiicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any waCer line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop��ty owner requests
maintenance service o�repairs be performed by the City,the property owne�shall 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 shali be the responsibility of the applicant,owner,occupant or user to perfarm standard maintenance of
' the sewer service line frum the p�emises to the main including deb�is ciearing 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 638,1156,1191j
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