Meter Swap Request Number: 13564
Pubhc works Division
Service Request
Problem Address: 6015 McKinley St Requested By: Denxel J�ckson
Departme�: WATER Addresa: No address provickd
ProMem/Issne: INSTALL AMR ME1ER Phone Number: 572-0588
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' Schednl 2017-03-02 Sc6edaled 1lme: 0130:00
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��; � Created by: We�y Hia�tt Date Cre�ed: 2017-02-17
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�::� ` Status: In Pro ss Sabmitter Has Been r
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Ds�te Completed: ?�...��1`�7 Com�eted by: ��
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Frodley, Mi1i 554�2 /�
753-572-3566 "a � �°-�� � �( � �V �
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��1N� her�6y authorize the�iiy af Fridley and/or its empioyees to c!o what es necessary to
• replace the water rneter. I vnderstand that fihe propea�ty owner u liable for the water line from the main to the premise and all iriterior
plurrtbing. (Per Crty code 402.06j i aiso hold the City vf Fridley and/Fts employees harmless#or any siamages that may occur while doing this
operation. This to inciude,but not Bimited 3o valves,�tiping,wails,floors or the svrb stop box and service line. 1�under nd I am also requir
to obtain a permit prior to ar�y�ror�c,if necessary. 1�
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FiN/�►L METER READING(ok[meter) o�� ����
Name: �e MZ1%' .1w�.V�C1(/1 Address Vl��/1,J �"`fiF'��
Phone Number__ �/�'� O�� � p� 3" � � ��
Signatare �'
YYitness Signattsre
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FRIDLE1f CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord NO 113,464,565,565,629,638,662,9Z2,988,I144,1i56,3191] ' ;:s
402.5 PERMIT FEE
Prior to constructir�or repair of arry water aF sewer line connecting the existing municipat spstem and arry house cx buildi for which the a��
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appl�cation is made,the owner or contractor shalt be required to obqin a permit for wch connection,and shali pay a permit fee as p�ided irrx
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shail be notified. It shail be unlawFui to cove
any connecting line uritil an irrspection has been made and such connection and#he wor�c inaderrt�ereto has been approved by the C'rty as a
proper and suitable connecfiion.
402.06 REPAIRS A{yD MAINTENA1110E TO CONRIEC170N
After the initiat connectiort has been made to the rrater senrice curb stop box or the sewer fead at the property iine or a water service lead has
been exfiended to fihe property line for connection,the appiicarrt,owner,or accupant or user of such premises sf�aii be liable for all repairs
required to arty water line and sewer lines necessary for connection of the premises from the main to the premisses. if the property owner
requests maintenance service o�repairs be performed by the City,the property owner shall be charged for the tosts of the mairrtenance andJor
repairs,including necessary street repairs at a rate set annualiy by a�administra#ive policy. It s6af1 be the responsbii'rtq o�f the app�icarit,
owner,occuparrt or user to perPorm standard mairrtenance of the sewer senrice line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiU ensure Chat it remains above the finished
grade af#he land or property. {Ref 638,1156,1191j
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Request Number: 7651
Public Works Division
Service Request
Problem A�ddress: 6015 McKinley St Requested By: Denzel Jackson
Department: WATER Address: No address provided
Problemilssue: FROZEN WATER SERVICE Phone Number: 763-572-0588
Scheduled Date: 201403-13 Schedu{ed Time:
ACTION NEEDED: Frozen water senrice. Gav�e homeowner a list of vendors who thaw pipes and told him the
water departrnent would trace line.
Created by: Wendy Hiatt Date Created: 2014-03-13
ACT{ON TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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REQUEST FOR SERVICE REPORT
CiTY OF FRIDLEY
Reference No. Date: �/��
Request Type: �� �'l/��� Entered By:
Department: � p � Citizen Name:�� e � JaG�S(/�
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Address: �/'��� S� Phone Number: ��2j 5�� (��C�
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Scheduled Date: �/f3 J�� Property Owner: �
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Location Details: Request Details:
Action Taken:
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Responsible Person: -
Approver:
Compfetion Date: �` �-�}� Citizen Notified:
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