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Meter Swap � � � G l�� 3�_�� 1 Request Number: 9284 Public Works Division Service Request Problem Address: 6020 3rd St Requested By: Jotm Polak Department: WATER Address: No address provided Problem/Issue: INSTALL AMIt METER Phone Number: 952-484-0267 Scheduled Date: 2014-10-30 Scheduled T1me: 08:00:00 ACTION NEEDED:2014 AMR Created by: Wendy Hiatt Date Created: 2014-10-27 ACTION TAI�N: � OLD METER N0.16354246 OLD READING� 1�580 NEW METER NO.44921489 NEW READING:0 ERTNO.35172550 ............................_...._................_........................._.__..__...M_.__.._.............................._.................._.............�...........�,,i.�.....=r..��_.L�1'..�-icrt�r.me�...��_�` t% .............................................................._.............._._................................._.._....___._..___._.....____..____....._......._......_....�...._.�_�G/t„,�.,�.........._��t�.��._...]..A'...._. ....__.... _..._._......._..___. � .........................................................................................._............_.._..._....................................._.............................�............................_.....:�.1.�.��...��_��._..........__..........__.........__.____......_.._..._._._.____.._.___....._.__. �� Status: Completed Resident Contacted I- 3_V�� Date Completed: 20 0-30 Completed by: Pete Gunderson Hours ��F ��.� � � �� `7 S�- UT300I01 CITY OF FRIDLEY CXLIB 3/03/15 � Customer/Location Consumption History Inquiry 16:05:09 �f Customer ID: 155835 Name: POLAK, JOHN Location ID: 447190 Addr : 6020 3 ST NE Cycle/Route� O1� Amount due: $.00 Initiation date � 4/27/07 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 Service Reading Actual Actual Meter Est Cmnt Opt Code Z�pe Date Consumption Demand Days Number CD CD WA REG 11/30/14 4.00 .00 91 16359246 _ WA REG 8/31/14 4.00- .00 92 16359246 WA REG 5/31/14 16.00 .00 92 16359246 _ WA REG 2/28/14 7.00 .00 90 16359246 R NC _ WA REG 11/30/13 2.00- .00 91 16359246 _ WA REG 8/31/13 16.00 .00 92 16359246 _ WA REG 5/31/13 5.00 .00 92 16359246 _ WA REG 2/28/13 2.00 .00 90 16359246 E + F3-Exit F5=Print history F6=Meter inventory F7=Meter svc info F8=Pending/history trans F9=Budget trans F24=More keys �� a"�/�. �3 �3�� . _ �� -�� 3s �� -� ��^�� _ � .� � �°��``_ �� _ _... _ �.._._.. , ., . ._ .:_�. . _ �e��st 1`�umber:-��4__ ...___ Public Works Division Service Request Problem Address: 6020 3rd St Requested By: John Polak Department: WATER Address: No address provided ProblemiIssue: INSTALL AMR METER Phone Number: 952-484-0267 Scheduled Date: 2014-10-30 - 5cheduled Time: 08:00:00 (�rS b�- � � d� c� �� ACTION NEEDED:2014 AMR Created by: Wendy Hiatt Date Created: 2014-10-27 ACTION TAI�N: ........................................................................................................._......_.._..._...._..�__._......_............................................................................................_................._................................._.....__.....................................�.....__.................._:..........__.............................. .............�-.�....m��............................._�._6.... ....��_�:_`�.... . . ...........................................................................................__...__.........__..........._......_..........___.._...........�....................... � � � ......:..._o�-...�....�...........�.��....................................:......._,..��...._5..`....�.�......C�................................................................:...........:.....:....._...._._ � � � L�� `�� ..........�.............................f�.:�-...r...-�........�..................................................._.....................................................................................................................................___...............__........................__............................_..._..._.............._._......... , _.........,��..................................._+.�.�...............................................�.........................................................................:.._.................._. ....................__........................................_............_............._.................................._._._......................... �-T �- �35�� a 5� ...................................................................................................................................................................................................................................................................................................._........................_._............._...._.................._._....___.___.............._........___ Status: InProgress Resident Contacted ❑ Date Completed: Completed by: ��•—�,�� s � City of Fridley _. ._ _ . .. Wat�r Dppartrrient , .._ _ ,,_ . _..._ 6431 Uni�ersity Avenue NE F�idtey�MN 55432 (763)572-3566 f/we hereby authorize the�tY af fridley and/w its employees ta do what is necessary ta replace the wate�meter. I understand that the propertyr owner is liable for the water tine fram the main ta the premise and all interior plumbing. (Per City code 402.06) 1 alsa hoid the Gty of Fridley and/its employees harmless r any amages a ma - while doing this apera�on. This to include,but nat limited to;vah►es,P�P��6.�ai{s,floars or the curb sts�p box attd servic�line. 1 understand 1 am atsa reguired tu ahtain a permit prior to any work,if necessary. Final meter reading(old meter) � � � � Name• Address. �n O�`— �� Phone Number. Oate' I � �'" �" Si nature• � B , Witness Signature: fRiDLEY ClTY CODE CHAPTER 4�Z.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord Ma 113,464,565,566,629,638,662,922,988,11A4,1156,1191) 442.05.PERMIT FEE � Prior to constructing or repair of any water ar sewer line connectingthe existing rnunicipal system and any house or buiiding fnr which the apptication is made,the owner or contractor shal{be required ta obtain a permit for such connection,and shal(pay a permit fee as pravided in Chapte�11 of this Code. At�er such connection has 6een made,the 1Nater and Sewer Department shali be notified. it shail be unlawful to cover any connecting fine untit an inspectinn 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 MAINTENANCE TO CONNEtTION ��,�R��„�„ .�•„�ti,�hoa�t,►adP tn rhP water service cur6 stop bux orthe sewer lead at the propert' line or a water service or sewer lead has been extended to the propertyline for connection,the appiicant,owner, or the occupant or user of such premises shall be liable for all�epair�required to arry water line and sewer{ines necessary for connection oE the premises frem the main to the premises. If the prop�tty owner requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the cnsts of the . maintenance and/o�repairs, induding any necessary street repairs,at a rate set annualfy by.an administrative potiey. it shatl be the responsihility of the applicant,owner,occupant or user ta perform standard maintenance af • the sewer service line from the premises to the main including de6risclearingor root cutting and to maintain the water service cur6 stop box for operability and at such height as wiil ensure that it remains above the finished , . . __ .. . ..__ . .._ ,. . ,:. ._ _. grade oft��e lard or�rop�rty.-(Ref 630,Z�S,_1�n]:� _, . . ,