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Request Number: 9262
Public Works Division
Service Request
Problem Address: 6422 Starlite Circle Requested By: Tammy wlZavuadsld
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-483-0518
Scheduled Date: 2014-11-03 Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt � Date Created: � 2014-10-23
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ACTION TAI�N: �
Old meter#93107406 Old reading: 1�7 40 New meter#4492204�ERT#35171776
Status: Completed Resident Contacted !"'
DateCompleted: 2014-11-03 Gompletedby: RyanJohnson
Hours •
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UT30�aI01 CITY OF FRIDLEY CXLIB 11/07I14
. Customer/Location Consumption History Inquiry 13� 11:27
Customer ID: 125095 Name: ZAWADSKI , STEVE
Location ID: 528570 Addr : 6422 STARLITE CIR NE
Cycle/Route: O1 88 Amount due� $.00
Initiation date � 7/30/O1 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 Type Date Consumption Demand Days Number CD CD
WA REG 8/31114 22.00 .00 92 93107406
^ WA REG 5/31/14 14.00 .00 92 93107406
WA REG 2/28/14 19.00 .00 90 93107406
` WA REG 11/30/13 15.00 .00 91 93107406
WA REG 8/31/13 21.00 .00 92 93107406
r WA REG 5/31/13 30.00 .00 92 93107406
WA REG 2/28/13 28.00 .00 90 93107406
WA REG 11/30/12 26.00 .00 91 93107406 +
F3=Exit FS=Print history F6=Meter inventory F7=Meter svc info
F8=Pending/history trans F9=Budget trans F24--More keys
� '
Request Number: 9262
Public Works Division
Service Request
Problem Address: 6422 Stazlite Circle Requested By: Tammy w/Zawadsld
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-483-0518
ScheduledDate: 2014-11-03 � Scheduledlime: 10:30:00
� r O i
ACTION NEEDED:2014 AMR
i`
' ' Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
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Status: In Progress Resident Contacted (�
Date Completed: Completed
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• - City of Fridley
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. .. . Watier��partment , . _ ., _ .
6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
I/we here6y authorize the�fi►�Fridtey andJor its
employees to do what is necessary ta replace the water meter. I understand that the pro�rty owner
_is liable for the water line from the main t�the premise and all interior plumbing. (Per City code
402.06) I alsa huld the City of fridley and/its employees harmless r any amages ma -
while doing this operation. This to include,6ut nat limi#ed ta;valves,piping,wails,flaors or the curb
stap box and service line. i understand 1 am also required to ohtain a permit prior to any work,if
necessary.
�inal meter reading(old meter) ��7 O�v2�d
Name: Address• K ��� ����/�� ����i
Phone Number. Date•/! ���/�
. �
5ignature:
Witness Signature•
FRIDLEY CITY C�DE
ppTER 4D2.WATER,STORM WATER,ANDSANITARY SEWER
AQMINISTRATI�N
(Ref Ord Na 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 e�dsting municipa!system and any house
or building for whid�the applicatian is made,the owner or cantredor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of�is Code. After such connetdon has been
made,the 1111ater and Sewer Department shall be notffied. It shall be unlawful to cover any cannecting tine until an
inspection has been made and su�h connectian and the work incident thereto has 6een approved by the City as a
properand suitable connection.
402.d6.REPAIRS AND MAINTENANCE TO CONNECTION
.p���b�p��pphinn ha.�aan rnade �the water service cur6 stop box or the sewer lead at the propert�
line or a water service flr sewer lead has been extended to the propertyline for connection,the appiir�nt,nwner,
or the occupant or user of such premises shali be liable for all fepairs required to any water line and sewer lines
necessary for connection af the premises from the main ta the premises. If the prop�tty owner requests
maintenance senrice or repairs 6e performed by the Ciry,the property owner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annualty by.an administrative
poticy. It shall be the respansihil"rry of the applicant,awner,occupantor user to perfarm standard mafntenance af
� the sewer service line from the premises to the main incfuding debns dearing ar roat cutting and to maintain th�
water service cur6 stop box for operability and at such height as wiU ensure that it remains abwe the finished
.. . . . . -- �- - �--- . . ,,. .
.'•grade oft���land or�rnp�r�y.�jRe`63S,-Z�55,t��►3:� _- . _.