Meter Swap R
�, Request Number: 14014
Pubtic Works Division
Service Request
Problem Address: 6654 Fridley St Requested By: IJorma Medin
Depu�tment: WA'IER Address: No ad�ess provided
Probleml7asne: INSTALL AMR ME1ER Pboce Namber: 5740350
Sc ed Date: 2017-03-22 Sc6ednle�1lme: 11:OO:Q(1
1'b� •
ACTiON NEEDED:
Cteated by: Wendy Hiartt Date Cres�ted: 201?-03-13
ACTION TAKEN:
�v�5�-�.l � �� 'C�
St�taa: In Progress Stebmitter H�Been r,
Co�aeted
D�te Compteted: Completed hy:
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���a� her�[oy au�or'eze tD�ae�'r��y o��r�siley arac8/'oe-ats emp8oyees#o dv��at ds�oe�ce
�ego9ace t€�e+erater�sae�ea�. �aaaaderstaesd Ld�sa��tae propea•ty onvnes is dia�le fa�s�e�rater 9ir��$roaaa ghe anais�tcs�'ee premise and ali iarCe�
�Stearra�irag. {P���C"�ty sva$e�Z06� �ads��a�aid the�'st�of�isdley and�afis�rra�lxayees�Sassveless#or any�amages�sat naay�r�v4a7e�Ic
ti o�aee�ian_ i'f�is Yo��ci+ac&e,.�axrg seca�d"a�o�s's�d�o s�a�ves,�alg�ing�vraifs,f9�ncse�s�r tt�ae�earia sCo�kaaic and see�vete lis�e. Ira�nt9�e�stand�am ak
te�ota�taiea a pe�asait�ar�ar�o aeae��r�n�,�f�secessare�s
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ADi�ll�li'�STRA�t+Di�F
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Prior#o cvns�ructirtg or�epair aF arry water oFsetvee-�'uce conaectfng fifse e�astirsg�niapat sps#em arsd arry�use or bu7ding for wf�ich#('
application is rrracte,the oames vr corrtractnr shati be required to obtain a perm�for such connection,arn!shali�ay a permit fee as provi
Cha�ster 3.3 of�hts Cade_ A�r:er sucf�cvrr�ection has�een rnade,the�Itater and Seaver Departm�rrt sha11 be aaa 't�'ied. �t.shall be unfaarfui t
aray cvns�ecfiing iine unia7 an irrs�ec3aon�aas t�een.made and such wnnection and the wortc in+aderrt thereto has beea approved by i�te�j
gro�eer and suitable conn,ectaora.
�tJ2.t16 �iEPAld�.S�90iiP�iAllY7EA(ANCE TO C�f�C7'1��fht
A�er the Tnitiat connection has beerr made�o#�e raater senrice curb sEvp brnc vr t�e sewer fead at fif�e Pro�+'t�f Ifne ar a rraiter service lea�
beer�extended to fifre property line for s:osas�ectiar�,�iie appiic�rst,owner,or acc��arrt or�se�r of such premises shati be t3at�Ie foe,alt�ir.
�equire:d�v ar�yr water line and sewer lines necessary#ar connectian of the premises frorn the main to fihe prerraises. !f the psopesly ownei
�equests maisrtenance senrice or repairs be perFarnaed by ths City,�dae proper#y owner shali be charged fior th��osts af f6e mairnenance a
s'epairs,inclatdirag ne+ceessary street repairs afi a rate set annualFy la�an adminis�ra�ixe pvticy. tt s6ai�be che resp+or�s�i�rtyr o##�e app�icarrt,
mruner,occu�a�rt vr user to perform standard mairnert�nce of�he sewer serwice line from the premises ta the main�rrdu�rrg dehris dea�ir
root s�ea�tting a�ad ato mairrtain the water service curf�sto��vx fa�fl�serai�ility ant#at such heigtrt as�en1i er�svre that it remairis above the flnc
grade of Chs 1as�d�or oroperty_ (€ief 538,�156,1197.)
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'� INSTALLATION
`�
FRIDL�EII , . ,
Address �� ( �1Z�`�l�� �j�
Name � 1J�?A „����1J
Date ��`��`"��
Old Meter Number ������
Old Meter Reading �
Replacement Na —1�`1 �(��� 1
Replacement Reading C7S
Replacement Make �l.�`�
Remarks: �L� ���
Signed: �v`��
_ �
Request Number: 6139
Public Works Division
Service Request
Problem Address: 6654 Fridley St Requested By: Dale wlPlumb Right Plumbing
Department: WATER Address: No address provided
Problem/Issue: TURN WA'TER OWOFF(WATER) Phone Number: 763-561-3306
Scheduled Date: 2013-05-13 Scheduled Time: 09:00:00
�N.� `� � Q'.
ACTION NEEDED: Turn off water for repair. "*"`"`BILL""`"`"` Permit#2013-00746
Created by: Wendy Hiatt Date Created: 2Q13-05-10
ACTION TAKEN:
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__...................................:.......................................................................................................................:................................................................................................................................._........................._......................._....................._.__._�._..............._..
_..........................................:................._..__._......_...................................................._._...............:............................................:........................................................................_......_.................._..__.........._.................................__._...__._...........___
Status: In Progress Resident Contaated O
Date Completed: Completed by: �G�
�� � 3� � �
" ` Request for S�rvice Repart
City of Fridley
Reference No: 601-11-2827 Date: 02I15111
Request Type: Inskall regular meter Entered By: Wendy Hiatt
Department: Water Citizen Name: Donna Medin
�tddress: 6654 FRIDLEY ST NE Callback Phone: 763-574-0350
Scheduled Date �'�:�:�� '" , ;p�� ' s�r*� �,`�r���� � � �
��� �
� Property Owner: Work: 651-635-8211
Location Details: ' `�j Request Details: Replace old meter_
Action Taken:
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Responsible Person:
;Approver.
Completion Date: � Citizen Notified
o`�:p�s` 1 )
City of�'zidley
�hTat�De�a�ae�.t
" 5�31 T.T�i�rersity�,vznue Rli
Fndley�iIl�l 55��2 .
(7�3) 57�-��61
L We � r - �
he�.e�y a�o�z�the �ity of Fi7dley a�d/or�ts .
�Il?�IOy��S t0 G.O 4Y�13��Il�C�.SS�tu i..plac��.he wa�er meter_ I_underst�nd that;.�e
pi'o�ei-ty o�nex is liable for the water line from i.l�.e main to t�e prerais� an.d�1i i�i�r�or
�l�.unbi�.g. (Per Ci�y cade 4Q%.06) I aa.so hold ti�e C;ty of Fridley andfor i-ts e�lo�etis _
�amless for any c�a�naQes t�a-t�av oc�u�while c�iu�this operatifln. Thi.s to include;but
noi]i�niterl.to; valves,pip� �vails,facrs or the cui� stop box and s�vic�]ine. I
unders7�d I am aiso requir��.to Dbta;�. a pe�miT pror to an�wor3�, iz�n���sa�y. `
�
i�Tame� C7 Iv N G`` �2� t I� a� _ Co Co S y � ` � [�, s fi,
<�u eSS_ Y' � �
t hc�ne i�umbe� �03—5� y-03�^C� �.- a s - I �
�at�: _
�
Si�nai�u�e: � � .
�itness Si�aatu�e:
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- ��'.�� �i32.'��I�.'�+�, �a'�'���r��+�rs.t�5������+"''r�� :
��'�'�A�'��3T+T
(Ref Ord i�Ta l I�,4b4,Sb�, 565, b2�,0'38,602,9�2,488, 1144, l l�o, 1191)
�dD'�.fl5. �'��'�+'�, , .
P�or to canstnicting ar repair of any wate:or sewer line c�r�e�ang the e:�isting municipal system aud any �
house or bu�cling ior whicn�the anpi�cation is made,the owner or cantractor shall be re�ttffe�.to o'otain a
p�mut for such conneation, aud s3�ll pa�a pe�nii fee as provideci i�.Chapre;11 of t�is Code. After�such
cann��ian ha.s bern mad�the�Iater an�Sewe,�:Departme�.z sha11 be notife� I#shall be�la.wiui to cover
any ccnne��n�iin�until an inspecuon has be�n mad.e an�.such caune�o�aud th�work i�cideni th�reta
nas been approved by�e Ci�as a pFo�ez a�ct saiiable canne�on.
�OZ_t��. ���:���'�'�I���'�T�:��� �:.�i�1`��'�'I�1�T
Afte:�.he mitial.c3n�ection has be�n�de tc��e�.�rater service�.� siop bog or�ihe s�wer lead ai t1�e
propertyline�c�a wate:servic��r se�rer 3�ad has be�n z�c�deri to ihe pra�e.�y li,ue for e�ecrion;the �
applican� o�yner,or the occupant or user of suc31 pre�es s;�aIl be liable for a11 repa3rs�quirzd to any
;�ater lin�ana anp sewer liues ue�essa.�-y ior corme�on flz'�ue premises from.the main tn�tlie�zemis�.s. Lf -
the pzaperiy�wnerre�uesis�aintzzance servicas or ie�ai�be periormed by rhe �iry,�ie propes�y owner
shall be char�ed for�e costs of�e mainteaanca a�d/o���a�s, inciIIdin�any necessary stre�t repa�xs,at a
raie set an-�ua]ly by an acaniri�;;�a policy. It s'�- 1�e the r�sponsz�b�it�T ofthe applic�i, otivner, o�clroant
ar user to ptiri+�rn�st�da�-d main��,ance ni ihe sewez s�rvic�-_1�;.e frflm the pr�.ises io t�.e r�ain iuc�ud�►g .
de'�iis clea�n.g or r�ot cuti�.g aud io maiaia�.i.�e wat�r servica curb s�p b�x f�r o�erab�it��d at such
he:ght as w�7I er�rse ihat�remams abave'�ue fois;7�a a��.a.ae oi�e laud or�soperty (Re�63�, I 1��, 11�1}