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Request Number: 9377
Public Works Division
Service Request
Problem Address: 250 Sylvan Ln Requested By: Doug McNerlin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-238-2755 or 571-1707
Scheduled Date: 2014-11-06 Scheduled Time: 11:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAI�N: �
Old meter#35206807 Old reading:0532 80 Newmeter#44920948 ERT#35159267
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Status: Completed
Date Completed: 2014-11-06 __ ,
Hours
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Request Number: 9377
Public Works Division
Service Request
_ _ _ _ _ __
Problem Address: 250 Sylvan Ln Requested By: Doug McNerlin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-238-2755 or 571-1707
Scheduled Date: 2014-11-06 Scheduled Time: 11:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-1 I-04
ACTION TAI�N: '� 'r' ✓�
Old meter#35206807 Old reading: 53 80 New meter#44920948 ERT#35159267
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Status: Completed Resident Contacted li
Date Completed: 2014-11-06 Completed by: Joseph Katzung
Hours
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� Request Number: 13073
Public works Division
Service Request
Problem Address: 250 Sylvan Ln Requested By: Doug McNurlin
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-286-2755
Scheduled Date: 2017-02-02 Scheduled Time: 10:30:00
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ACTTON NEEDED:AMR head not scanning.Install whole new AMR.
Created by: Wendy Hiatt Date Created: 2017-01-25
ACTION TAKEN:
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........................................................................................................................................................................................................................................--........__._.........................._........__......................................................................................................
Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�1/ate�-�epartrnera� �b ,�3 1� 3
5431 lOniversit�Avenue NE �
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��'''�e hereby authorize the City a�f Fridley and/or its empioyees to slo what is necessary to
replace the water meter. I understand that�he property nwner is liable for the water line from the main to the premise and all interior
plumbing. (Per C'rty cosle 402.06) i atso hold the City�af Fridiey and/6ts employees harmless for any slamages that may occur while doing this
o�Oeration. This to include,but not limited to valves,piping,walls,floors or the curb sto�O box and service line. On understand 1 am also require�
to obtain a permifi prior to any wor4c,if necessary.
FINAL METER READING(old meterj _
C`� � 1�32�=�
Name: - � �� r h.Address �✓� ��`/�.J�l�- l��\
Phone Plumber � �����e 2"�+ "�
Signature Witness Signature
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OLD NIETER#_ ��, 4��{/ 4 �
OLD READtNG �� C� l I� L:.(.J�-��
NEW METER# " 1r�!� /�/�� Ct-�_�'�,�-i,�.� ��
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NEW REA�IfVG V � ;',.�.c.�-��(�,ix-� ? •
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FRIDLEY C�TY CODE
Ct-#APTER 402.WATER,STORM WA,TER AND SANITARY SEWER
ADM IN ISTRATIOAI
��i�f Or� 6Vo 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
4Q2.5 PERIIAIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and any hause or building for which the
applicafiion is made,the owner or contractor shall be required to abtain 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,tfie Water and Sewer Department shall be notified. It shall be untawful 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 suitabte connection.
402.06 REPAIRS A1VD 9VfAINTENANCE TO CONIYECTION
A1Fter Che initial connection has been made to the water service curb stop box or the sewer lead at fihe property iine or a water service lead has
been extended to the property line for connection,the applicant,owner,or accupant or user of such premises shall 6e liable for atl repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the prerr�ises. If the property owner
requesfis maintenance service or repairs be performed by the City,the property owner shatl be charged for�he costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shatl be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main ancluding 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 xhe land or property. {Ref 638,1156,1191)
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City of Fridley
Aater De artment
Address__5���..�.�1 ��f�..��
Name �,�.�xxy_ ll�e �V IZL1�
Date "�� ��j�
a
Old Meter Number ��(�p
02d Meter Readin �, �j -
Replacement No. Q��Q�
Replacement Reading �
Replacement Make ����
Remarks: �L����
Signed ��
. ' Request Number: 9377
Public Works Division
5ervice Request
Problem Address: 250 Sylvan Ln Requested By: Doug McNerlin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-238-2755 or 571-1707
. Scheduled Date: 2014-11-06 Scheduled 1Time: 11:00:00
GvW ,
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAI�N:
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5tatus: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
- , • " , _... �1lat�er Departmenfi .. :. _ .,..,.
6431 University Avenue NE
F�idley,MN 55432
(763j 57Z-3566
i/we hereby authorize d�e�t11��d�and/or its
employees to do what is necessary to replace the water meter, ��e��a���e��erty owner
��Iiable fgr the water line from the main to the premise and all in�rior plum6ing. (Per Citj►code
402.06) I alsa hold the City of Fridley and/it�employees harmlessfur any damages ina�mar���
while doing this operation. This tu inctude.but nat limited ta;vah►es,piPing.walis,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.
Ffnal meter reading(old meter) ��� � O .
Name: Address• p��O S���'ci v� �V1
Phone Number: Date: ����` l�
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Signature: --
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WA'fER,SfORM WATER,IUdD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,114�A�,1156,1191) •
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connectingthe e�asting rnunicipal system and any hause
or 6ui{ding for wfiich the applicatioa is made,the owner or contractor�hall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such connection has been
made,the 1Nater and 5ewer Department shall be notified. It shall be unlawful to caver any connecting line until an
inspection has been made and such connection and the work incident thereto has been appraved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
��p��� ___ ,, �,.+►,o Warpr sen►ice curb stop hax nr the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property ime for connechon,the applicant,owner,
or the occupant or user of such premises shail be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the p�emises. if the prop�tty owner requests
maintenance service ar repairs be performed by the City,the propetty owner shalt be d�arged for the c�ts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set ennuafly by.an administrative
policy. It shall be the responsi6iliry of the applicant,owner,occupant or user to perfnrm standard maintenance of
• the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the
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water senrice curh stap box for operability and at such height as wiif ensure that it remains above the finishe
- Rea 635,1�155,.t�9�:� .. . . . . .
:"gracte�ftfje lard orproperty.-( _. _ .._ ..._ ._. _ ...._ .._. ..... ..._..