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Meter Swap i t Request Number: 14339 Public Works Division Service Request Problem Address: 1371 Creek Park Lane Requested By: Zeenab Department: WA'IER Address: No ad�ess provided Problem/Issue: INSTALL AMR METER Phone Number: 612-806-1417 ..� Scheduled Date: 2017-04-03 Schedaled 1tme: 11:00:00 ��n �� AC'TION NEEDED: Created by: Beth Kondrick Date Created: 2017-03-27 ACIION TAI�N: �-Y�S� �� _ _,-- ��_� � . y�� ....�.�....... . 2�� ' `F. . -.'� �R .�� . �.. �� . y� � ..u.�..�.. .�.�..�.........�.. .�.....� � -i. M:�i �W.....�.�.�..rw.....�..µ��..��. �µ� _�� j`.. '.S 1. . .. . �lM..1 ` Sabmitter Has Been `F �� Stntt�c InProgress Coata�ted r Date Completed: �„ �� Completed by: �� `` , � ��: . y �c 1�-��Z�� .�� . s0 � �� I City of Fridley Water Department 6431 University Avenue NE Fridley, MN 55432 763-572-3566 �/We hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ali iMerior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the airb stop box and service line. in understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) ��/V�� Name: ��G�;b Address_ 1'�7 � � �� • Phone Number V�� - � � U� �� Date_ l�� _ �� :��. Signature Witness Signature OLD METER# �g�a� �l� OLD READING V�(/"� �C� NEW METER# ��.� � 1 a� NEW READING � ERT# ��/"0� � / � D� FRIDLEY CIT1f CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing munictpal system and any house or building for whid�the application is made,the owner or cornractor shal{be required to obtain 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,the Water and Sewer Department shall be notified. It shall be unlavuful to cover any conneding line untit an inspedion has been made and such�nnection and the work incident thereto has been approved by the City as a proper and witable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial co�nection has been made to tfie water service wrb stop box or the sewer lead at the property line or a water seroice lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owoer requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applipr�t, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or root cutting and to maintain the water service wrb stop box for operability and at wch height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) R�q�� fc�r�er� R �iiy of Fridley � �: �t-12-�0�`1 �te: �i�2Qi2 T�re� l�i�g aet�r �: �t: MVa� ��ae� Ze�a�s Add�: 1�"1 PI�C LN � 763-205-1+�10 O�te= 7/�12 9i1D!W t�w�er: ��: Reque� E�eta�s= Qa!qe le�e�ei�er 7a�: F�k o� ��S 3� �� Cc� p�-� JUe,-t- T� N1� � Y c� � �-. � � � � � _ � , �__ _ _��._ ___ ___.._ � � � � [..��___ _____________ _._�..._.___..________� ��_ ��ia � � �. w_ . �_�� __� � R��st f�rr S� " 1� ��y�rf Fridl�:y t� �: St�1-72-4�r3 i�e: �i tl�12 Tj�e� �c!�er �. Ele��: YVati� {�iz��: Z.,eir�� Ihd�: 1�7►1 F/�RIC LN P�wr�: 763-��05-1940 Sc�d[lat+e: 6�l'11�i12�0 P�1 � {3�w�: � . Reque�t i�etais: Neip M�eo�nerloc�e w�er�ar ad get�J_ S�Sa��`��_ �___�_.�..___� _ . � . ._._.._�_ �_..___ ___...� _�. � ._...__� ._.__________.� . _____.___.,_�...� �S�a�: _ �f� � � l � �(1�-�2 � �� - �q 6� �� C� 2� �� -� I,S I1� �� '►..�yc2,Y ��:�c'�''� � ' � `� � p��o ��Y -�� . � � � _ _�_ �� _ ___�..��_ ____ _�_ _ � _ ____ �___ __._.._____________ � _ ; � � � ��- i � � a_____�_ � ° �__ _�______ .. __ _._ __ _.._._ ._._____..._._��___�____ _ c�€�: ` t1` l � � � . �_� _ _� f f- Hiatt, Wendy From: Hara, Sandra Sent: Monday, June 11, 2012 9:24 AM To: Hiatt, Wendy Subject: New Appt for Today at 2pm Hi I have a resident who can't find the water meter so I scheduled an appointment for today (Monday) at 2pm. It for Zeinab Mohamed at 1371 Creek Park Ln. The phone number is 763-205-1940. Zeinab is actually the wife's name and she'll be home. The last meter reading was 55389 and I think their son was reading the wrong meter and he's not living at home any more. I tried to explain to the husband where to look for meter but he still can't find it. Thanks, Sandi � , Request for Service Report City of Fridley Reference No: 601-11-3142 Date: 06122I11 Requesk Type= Turn waker offlon Entered By: Wendy Hiatt Department: Water Citizen Name: Zeinab Mohammed Address= 1371 CREEK PARK LN Callback Phane: 612-520-9154 Scheduled Dake= 06I22f11 1=00 PM �� . Property Owner: Location Details: "x"xBILL'"'x Request Details= Turn water on Reinstell meterlGek reading Action Taken: � �___________._ _. ___________.-----._ __—. ��-c �v�,��a.- �-t/ ti-..S CJ L. �� c'� Y� s � .1� '� ' ,' � � l � / h � .. q, i :.';�• � / S+. -�i. h.....�,r�}r � �3,. t2�• �Y�h R.F� �J,-� �R/� '..�, �. O 1-� t,�,` .rt �'1..SL��..�- .�,�.�� /� � �, � t , ,% � . �, �,/�'� �; � � � Responsible Person: � , "" /i Appro�er: Completion Date: I � Citizen Notified / � ^ ; p � � r_ ' �`