Meter Swap " Request Number: 13536
Public Works Division
Service Req�st
Problem.4ddress: 14Z 1 N Danube Rd Requested By: Peg Betaold
Departme�: WA1ER Address: 1421 N Dawbe Rd
Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER Phom Nmnber: 763-572-0019
Scheduled Dsit_ e; 201 -02-28 Sc�duled 11me: 01:30:00
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ACTiON NEEDED:
CYeated by: Beth Kon�ick Date Created: 2017-02-I 6
ACTION TAI�'.N:
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Status: 1n Progess �bmitter Haa Been �,
Contacted
DAte Completed: �,.. 1 Q��'�J Completed by:��L �,
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Frielley,MlS+J 5,4�2 n � �
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,AW�V her�6y authorize tfae�ity�#Fridley andJor its em�ees to clo what ds necessary 4
A �eplace#he water rneter. 1�understand that the property uarner 8s liable for the serater line from 4he main to the premise and a�l imerior
plurrs9sing. {Per Crty�oa1e 402.06j 1 also hold the C'sty of Fr6dle�andiFts employees harrnless for amy�lamages that may occur while doing thi
operation. This#o�nclude,but nrnt 9imrted io va{ves,piping„wails,floors or the curb sto�box and service line. In understand I am also a�equ
to obtain a permrt�orioc io any rror�C,if necessary.
�iNAL f1ifETER READiAiG(old mefierj
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Name:_I��A 1V���0� � Add+ress ��u �- ,D C�Wr/� �.
Phnne Number��� `� ✓/��(�0� p�, �� a,� �—�
Signature Witness Signature �
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FRIDLEY CITY CODE
CHAP�fER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAl10N
(Ref Ors�Rio 113,�64,565,566,629,638,562,922,988.1144,1156,1191)
4Q2.5 PERMiT FEE
Prior to constructing or repair of any water oE sewer line connecting the exisfing municipat system and arry house ar building for which t�e
appfication is made,the owner or wrnractor shatl be required to obtain a permit for such wnnection,and shafl pay a permit fee as provided;i
Chapter 11 of this Code. After such connection has been made,the MVater and Sewer Departm+2nt shaii be notified. it shatl be unlawful to cov
any connecting line unfi)an inspection has 6een made and such cnnnection and the wor8c inaderrt thereto has been approved by the Cit�j as a
proper and suitabfe connection.
402.06 FtEPA1lRS AAfD AifA1NTENANCE TO CtJNNECTfON
A�ter the initiai coonection has been made to the wafier sesvice curb stop box or the sewer lead at fihe property iine or a water senriee lead has
been exfiended to the property line foc connection,the applicarrt,owner,or occuparrt or user of such prem�ses sF�aH be IYable for atl repatrs
required to any water tine and sewer lines necessary for connection of tbe premises from the main to the premises. if the propesty owner
requests mairi#enance service or repairs be perFormed by the City,the property omrner shati be charged far the�of the mairrtenance and/o
repairs,includirag necessary street repairs aC a rate set anoualfy!�an administrdtive paliry. tt sfialf be the resporrsbii'�ty of the app6carrt,
owner,occupa+rt or user to perform standard mairrtenance of the sewer service line from the premises to the main includng deb�ts dearing or
root cutting and to mairrtain the water service curb sCop box for operabifity and at such height�wiU ensure that it remains above the finished
grade of the iand or proQerty, (Ref 638,1156,1191)
Request Number: 9780
Public Works Division
Service Request
Problem Address: 1421 N.llmrube St. Requested By: Peg Betseld
Department: WATER Address: No address provided
ProblemlIssue: WATER MAIN BREAK Phone Number: 763-572-0019
Scheduled Date: 2015-02-17 Scheduled'Iime: 12:10:00
ACTION NEEDED:I�esident called in a water main b�eak in street circle at 1421 N.Daaube St.F.tner�e�y break given
to Jeff Jensen to gi�out and dispatch water crew immediately
Created by: Cheryl Peliegrin Date Created: 2015-02-17
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Complete by:
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Request Number: 7601
Public Works Division '�
Service Request
Problem A�ddress: 1421 N Danube Rd Requested By: Bob
Department: WATER �Jdress: No address provided -
Problemllssue: FROZEN WATER SERVICE Phone Number: 763-572-0019
Scheduled Date: 2014-b3-03 Scheduled time:
ACTION NEEDED: Frozen water service '�
Created by: Wendy Hiatt Date Created: 2014-03-04
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: � Completed by:
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