Meter Swap ��-� - ���a-��v-��
Request Number: 12956
Public Works Division
Service Request
_... ..........................._...... .... ...._...._._.._........_._.._...._........_.. ...__. . ._ .__ _.. . ... _ .. _ . _____.............._......._..........._....
6854 Channel Rd Requested By: Robin Johnson
WATER Address: No address provided
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Problem/Issue: LEAKING METER Phone Number: 763-433-1374
Scheduled Date: 2017-Oi-20 Scheduled Time: 02:00;00
ACTION NEEDED:Homeowner is deceased Sister(Robin)is getting home ready for sale and she arri�ed at the
property to find the furnace had gone out and the water meter is leaking.Most likely frozen.****B1I,L**'�
Created by: Wendy Hiatt Date Created: 2017-01-19
AC'IION TAKEN: `
Old meter was frozen and broken.Water is also off at standpipe so they can call a plumber to replace the val�s.They will call
back to get the water turned back on.Old meter#36076987 Old reading:0289040 Old ERT#27512045 New meter#
47118612 ERT#68880193
Status: Completed Submitter Has Been �
Contacted
Date Completed 2417-01-20 Completed by: Peter Gundersott
Hours �
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Request Number: 12956
r��wo�n;��on
Service Req�st
Problem Address: 6854 Channel Rd Requested By: Robin Johnson
Depnrtmeut: WATER A�re:s: No address pcovided
Problem/Isaue: LEAKING METER Phone Number: 763-433-1374
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Schedule e• 201?-01-20 �� Schednledllme: 02:00:00
, � ��- �, �
ACIION NEEDED:Homeow�r is�ce�ed Sister(Robin)is getting home ready for sale�ci she arrived ak the
property to find t�furn�ce�d gone out and the water meter is leaking.Most likely fro�en.*"'BiLL"*
Created by: Wendy+Hiatt Date Cre�ed: 201T-01-19
ACIION TAKEN:
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Statns: 1n Progress �bmitter Ii�Beea r,
Cout�ted
Dxte Completed: Completed by:
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�vater�e�aartrnent
,���Vr 6431 lOrsiversity/Aversue�l�
� � � �� .. Fridleya MN 55432
753-572-3566 �S�—��'��y���
. �S"�e hereby authorize the City af Fridley and/or its empioyees to slo whafi is necessary to
replace#he water meter. !understand that the properry owner is diable for the water line from the main to the premise and all interior
plumbing. (Per Crty code 402.06) i also hold the C'rty of Fridiey and/its employees harmless for eny damages that may occur while doing tF�is
operatfon. This to incfude,but not limited to aalves,piping,watis,floors or the curb s#op box and senrice 1ine. In understand 1 am also require�
to obtain a permit pr'sor to arry rro�4c,�f necessary.
FlNAL METER READING(oid meterj �� �O
Name: ��►�'1� ��4��'� Addre��vS 1 ������Z... ��
Phone Number p�. 1—��— ��
Signatare� Witness Signature ,^
OLD METER#_�)�O� � � ��
OLD READtMG__�l_ �7�� � (, d�'��� a� �`��'jI�
NEWMETER#_ �� � � ���pl
NEW READIIVG �
ERT# !�J U v� O � � J ���� '
FRtOLEY CIIY CODE
CHAPTER 402.WATER,51'ORM WATER AND SANITARY SEWER
ADMINISTRATION •
{Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
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Prior to constructing or repair af any wafier of sewer line cannecting the existing munidpal system and arry house or buiWir�for which ttte
application is made,the owner or contractor shall be required to obtain a permit for such connection,and si�all pay a permit fee as provided i�r
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer►t shali be not�Fied. it shaii be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work inaderrt thereto has been approved by the C�y as a
proper and suitable connection.
R02.06 REPAiRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water serxice curb stop box or the sewer fead at the property lirte or a water service lead has
been extended to the property fine for connection,the appiicarrt,owner,or accupant or user of such premises shall be liabie for ail repairs
repuired fio any water line and sewer lines necessary for connection of the premises from the main to the premises. if t6e property owner
requests maintenance seroice or repairs be performed by the City,tfie property owner shali be charged for the costs of the mairrtenanoe and/or
repairs,including necessary street repairs at a rate set an�uai{y by an administrative poliry. R shaN be the responsibifity of the applicarit,
owner,occuparrt or user to perfiorm standard mairrtenance of the sewer service line from#he premises to the main includir�g debris dearing or
root cutting and to mairrtain#he water service curb stop box for operabil'ity and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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��"� Water Depariment
�Address 6(� �L� ��"�� �`�
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Name ,'�L�� �X�-��
Date �d^���
Old Meter Number b�� p�
Old Meter Reading �� �S
Replacement No. � �� 1 O( -�
Replacement Reading �
Replacement Make�Gb'2
ERT# �I� ��`'��
Replacement ERT#
Remarks: �1C��
Signed
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