Meter Swap �
. Request Number: 13859
Public works Division
Service Request
______.__ _�_�.�$'r'`_�.,C_ _______.----- -
Problem Addreas: 1567 A�ve Requested By: Mr Berglacui
ITeep�t�tmeat: WATER Address: No address provided
Problem/Isaue: INSTALL AMR METER Phone Number: 612-26�-1866
Schedulcd D�te: 2017-03-13 Scheduled T�me: 11:00:00
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ACIION NEED�D:
Created b�: Wcndy+Hiatt Date Crextsd: 2017-03-06
A�'7iON�'�AK�N:
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Status; In Progress Sabmitter Hns Beee r.
CoMacted
Date Compteted: �� �3�--j, Compteted lry: ���,,�
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her�C�y au�ho�ize t�ae�'r�,o#�rFdle�p andfoe-a�s e�ptoyees#o do w�at as necess
�ega9�ce the mnater�raeter. 1 y���e������e�ropesk�cawner�s diable#or�fitee mrater 4ie�e from the snain to�ae prerr►ise and ail aarterio�
{ �alaaeaalsing. �Per�City code 4.diL06� �adso�aoid the�Fty�7f�s�edley and�ts erra�simgees�Sarmless�or ar�y�arnages�ea�C rraay�ccur�rhi(e sioir:
v�eea�aon. �'9ass xo�nclucEe,�arxt rea�Bian�ec!ia valves,�ipin�wadts,floors�s ki�ae�e-&a sto��aox ared senrece lis�e. In undee�stand�am also
' tsa ota#�aira a rrrlifi
Pe gar�air to aray�vor�,if necessasye
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Pteone�tumises- Ul��' ��-E!�� r�Ul� pa�ee �'-l� `~��
��� 46fiiness SignaWre --
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�RIDLEY CI'TY Ct)DE
C[-(A�'�'ER�U2.INA7'EB,SfO�11F/d�TER�4YiD S,�NiTARY SEINER
ADArlIfYlSTRA't'9CDl1F � �
�9��CBrs[l�to 9.13,4�,�65,Sfib,629,638,662,92Z,9$8y 19r44,I15�,7.i91}
402.s AEi�Uil7'FEE
Prior#o constructing or repair vf arry water aF sewer iirae conneci�ng the exasting rnuniapat system and a+�y i�ouse os bufldir�g for which#he
epptica�tivn is snade,ttae vwner oc cor��tractor shatt be required to ofrtain a pem�sifi for sucft connectaora,anrd steall pay a permr�fee as provrdE
Cha�rtea-13 of#his Code. After suci�corrnecCion has been rnatle,fihe Water and Sewer Uepartmerrt shali be natified. tt shail be untaarfui to
aray conr�ecting�ne unt�an inspection�aas 6een made and such connectioa and the wor�inaderrt thereto has beere ap�roved by�fte Crty a
proper and suitabte connectiora.
�OZ.06 �iEPAlRS AND�4tAtitit3ENANCE i'Q CONNECTiflFt
After tf�e imt�a!sonnection has been made�o#he water senrice curb stop box ar the semrer iead afi the P+'aPe�f iirse vr a�raber service lead
been exfieraded#u tfse property line for connedian,ifie applicarn,owner,4r accuparrt ar user o#such premises s(�atf be Caia1,�for atl repairs
requirest�Co arrr�water line and sewer iines necessary for�connectian of the}�remises from the main to the premises. !f the property ormer
requests rnairr.tenance seraice or re}rairs be perfarmed fry the Ct'tY.tJae property awrrer shati be sF+arged for the�of�he mairrternance an�
repairs,inclrrdirag ne+cessary street repairs at a rate set annualty b�an administrative poticy. tt sf�att be i�e responsibiCrty vf the appiicarrC,
owner,occu�arrt�r user to perform standard mairntenance af the sewer service line from tfse premises#o the main a��ciuding deb�is dearing
root�u�tCing and to mairrtain tha water service curb stnp box for o�aerability anc�at su+ch�neigtrt as will ensure that tt rernains ahove xhe finish
grade of the�and or property. �Ref 638,1156,1192�
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�� '� INSTAL..�TION
� G7YOF r ,�.. - . . � :�._. �
FRIDLEY
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Address /�� 1 U �l L'�- _
Name �r�`c��, ,�� /t��' �
Date ��L/— �� -
Old Meter Number �J C� � �
Old Meter Reading t �� �
Replacement No. O.� `c��l f� F3
Replacement Reading d
Replacement Make�a�7���
Remarks: �J�.�/1.� `Yl����
Signed: ��i/�1'
- Request for Serwice Report
City of Fridley
Reference No: 601-11-2980 Date: 04/13I11
Requesk Type: MalFunctioning meker [pluggedlstopped] Entered By: Wendy Hiatk
Department: Water Citizen Name: Brianna Lewis
Addresx= 1567 60TH AYE NE Callback Phone: 612-327-7934
Scheduled Date= 04I74111 8_30 AM �luf'S Property Owner.
Location Details: �, Request Details= Change stopped meter
Action Taken:
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Responsible Person: � ��'e%'��
Approuer:
Completion Date: � � Cikizen Notified
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