Meter Swap �c�—
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Request Number: 8310
Public Works Division
Service Request
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Problem Address: 6780 Plaza C'�uve NE Requested By: Leslie Hayvvard
Department: WATER Address: No address provided
Problem/Lesne: INSTALL AMR METER Phone Number: 763-571-3040
Scheduled Date: 2014-�'I-21 Scheduled'ISme: 08:00:00
ACTION NEEDED:AMR Tnstall
Created by: Cheryl Pellegin Date Created: 2014-07-01
AC'ITON TAI�N: ;/
Old meter#40488108 Old reading:004 90 Newmeter#44921120 ERT#35172Q09
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Status: Completed
Date Completed: 2014-07-21
Hours
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? Request Number: 13078
Public Works Division
Service Request
Problem�lddress: 6780 Plaza Curve Requested By: Leslie Hayvrud
Department: WA1ER Addreas: No ac�ress p�ovided
Problem/Isaue: INSTALL Al�IIi ME'1F,R Phone Number: 571-3040
Sc�eduled Datc: 201'7-Oi-31 Se�ednled 1lmc: 20:00:00
`� S' C'�
ACITON NEEDED:AMR�ad�t scanning.Replace with wl�le new AMR,
Crented by: Wendy Hiatt Dste Created: 2011-Oi-25
ACTI TAI�N•
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Statua: In Progress Subaeitter Hns Been �.
Contacted .
ITsite Campteted: Completed by:
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water�e�sart�vae�at � ✓ (
6431 Universitrf Avenue Rl� `: „ �� ��Y"��' /
Fridley, MN 55432 1 �� /�
_ 763-572-3566 �� ���l �
�'-�'''�� hereby authorize#he City af Fridley and/or its emptopees to slo what is necessary to
replace the water meter. 1 understand thafi the property owner u tiable for the water line from the main to the pramise and all interior
plurrrbing. f P�r City code 402.06j 1 also hold the City of Fridley andJ'rts employees harmless#or any�lamages that may accur while doing this
operation. This to include,but not limlted to valves,piping,walis,fioors or the curb stop box and service line. in understand!am also require�
to obtain a permifi pr�or to any�or4c,if necessary.
FfNAL MEfEER READtNtG(otd meterj � 3 � �
Name:�1��� � Address �� � ' W`�f�
Phone Number ( ��� — �J�,/ p� � ����' 1�
Signature .._ Nt'�tnessSignature `�—
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OLD METER#_— Y_ ! � �`�l:�J
OtD READtNG-� ��`��c,JI.J� �/ _
NEW METER# �' � I�IJ � �Q�
N�W READING�
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ERT# � L� �/` { �� � ^'
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
�02.5 AERMlT FEE
Prior to constructing or sepair of any wa#er of sewer line connecting the existing muniapai system and arry house or buildin�for which the
appfication is made,t(�e owner or corrtractor shat(be required to obtain a permit for such connedion,and shall pay a permit fee as provided in•
Chapter 11 of this Code. After wch connection has been made,fihe Water and Sewer DeQartmern shali be nati�ied. !t shail f�unfawful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COMNECTION
After the initial connection has been made to the water service curb stop twx or the searer lead at the property Itne or a water service lead t�as
been extended to the prepertqr line for connection,the appiicartt,owner,or accupartt vr user af such premises shail he liable for a11 repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the prem"�ses. If the property onrrner
requests maintenance service or repairs be performed by the City,the property owner shall be�arged for the costs of the mairrt�enance and/or
repairs,including�ecessary street repairs at a rate set annua((y by an administrative po(icy. It sNatl be tf�e responsibitiiy of tl�e appticarit,
owner,occuparrt ar user to perform standard maintenance of the sewer serv➢ce line from the premises to the main induding debris dearing or
root cutting and to maintain#he water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af#he land or property. (Ref 638,1156,1191)
� ��_UC� �i,t�v�-��-�,���
'� INSTALLATION
Cin,pF _ :� :�������:�"`
FIZIDLEY -
Address t� � �� �/� �� ��r��-
Name ��,� I� �y 1.+� �
Date �^l �1 "��/
Old Meter Number � �� ���0 �
Old Meter Reading ���� �0
Repiacement No. d��o ���
Replacement Reading �
Replacement Make ���r.GY
Remarks: a!� !'�^�-�'""'
Signed: �
Request for Service Report
�ity af Fridley
Aeference No: 601-11-2$45 Date: 02I17f11
Request Type= Install regular meter Enkered By: Wendy Hiakt
Department: Water Citizen Name: Pat Hayward
Address: 6780 PLAZA CURV NE Call6ack Phone: 763-571-3040
Scheduled Date: ��,:�''I'f�"�`�i�1"`�klill'� �V1` Property Owner:
Location Details: Request Detailx: Change ald meter
Action Taken:
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Responsible Person: �
Approver:
Completion Date: � �i J `l ,�Citizen Notified
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Request Number: 8310
Public Works Division
Service Request
Problem Address: 6780 Plaza Cunre NE Requested By: Leslie Hayward
Department: WATER Address: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: 763-571-3040
Scheduled�ate: 2014-07-21 Scheduled Time: 08:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN:
..........................:............................................................................................................................................................................................................................................................................................._......................................................___......._..._................
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�,'�t' ��
- City of Fridley
� --- Water Department . _._ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liabie for the water I�ne ftom the ma9n to the premise and all interior p{umbing. tPer City code
402.06) I also hold the City of Fridley andiits employees harmless for any damages that may accur
while doing this operation. This to include,but not limited to;valves,qiping,walls,floors or the curb
stap box and service line. i understand 1 am also requtred to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) V�� �l� l 0
Name: Address: f��o P laz-a- C,c��— ,
Phone Nu er: Date: 7"��r���
� c
Signature:
Witness Signature•
FRIDLEY CITY C�DE
CHAPTER 02.WATER,STORM WATER,AND SANITARY SE1AiER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
A02.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shal{pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shail be notified. It shall 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
proper and suitable connection:
402.06.REPAIRS AND MAINTENANC�TO CONNECTION
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 service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually byan administrative
policy. It sha{I be the responsibifity of the applicant,owner,occupant or user to perform standard maintenance of
' the sewer senrice line from the premises to 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)