Meter Swap Request Number: 13578
Public works Division
Seivice Request
Problem Addreas: 5715 Polk St Requested By: Mr.Hag�eman
Departmeat: WATER Addresa: 5715 Polk St
Fridley,MN 55432
Problem/Lsne: INSTALL AMR METER Phoee Nu�eber: ?63-574-1769
Sci�eduled Date: 2017-02-24 Sc�edaled 1lme: 07:30:00
1r� �.�
a�~�x rr�nEn:
Crented by: Beth Kondrick Date Cre�ed: 2017-02-21
AC7IOlri�l�I:
-�`4i'�4,1, ��L����� - .
. - � .i".. .�.
�'�;,
Status: In Progress Snbmitter fIaa Been �..
Contacted
Dxte Completed: �— a��'l� Completed by:
V�r�
��13�.�9niv��-sity Avea�eae AI�
Fradlsy,Nl61� 55�i..32 ��
753-s72-3��s� � �
� �
t,'A°'� hereby authorize tiae�'rP.y a#Fridley andjor its ernpioyees to slo what�s necessary t
re�elace�he water�neter. t�understand�hat ihe propea�ty owner is liable for the+e�ater line#ram Yhe main to the premise and ail ir�terioc
� plurrabing. (Per C"rty code�02.06� a also hold the�ity�f Fridley andfrts empioyees harrnless#or any slamages that may occur while sta4ng thi
ogaer,ation. This to�ncl�ade,bu#not lim'rted io valves,piping,waits,floors or the cueb stop hox and senrice 1ia�e. fn a�nderstand 1 am also requ
to obtai�a a permit�rio�r to any wor4c,�f netessary.
�t�- `� g � 7 b0 � � 1
FitiVA1 METER READNYG(oW meter) D�ly � �/ 6 V
Alame:��` ��L�— Addre�� { 1�� �� �Y`r !T�-
.
PhoneAiumber�� iJ' S7� wi,7ty� pate �� O`��," L /
Signature Witne�Signature �-
OtD METER#_ v (�� ��l I��
OLD RfADING-�" � G �
1�iEW METER#__' I'� l v 7�,�
;
NEW READtNG �
ER��_ � � gt � 3a � � .
FRiDLEY CITY CC1DE
CHAPTER 4Q2.WATER,S70RM WATER AND SANlTARY SEWER
ADM!lVBSTtZATfON
(Ref Ord No 123,4�4,�65,566,629,638,662,922,98�8,1144,1I56,1191j
402.5 PER'4VlIT FEE
Prior ta tonstructing or repair vf any water aF sewer I�ne connecting the existing rnunidpal system and arry 9�ouse or buitdPng fo�wi�ic�the
appticafiitin is made,tbe owner or corn�actor shalt t�e required to obtain a perm�fi for such connection,and shalf pay a permit fee as provided ii
Chapter 12 of#his Code. After suci�cannection has been made,the Water and Sewer Departmern�all be notified. it stwtl be un{awfut#o cov
any connecting tine ur�til an inspection has tseen made and such connection and the woric inciderrt thereto has been aqpcoved by#be C'iiy as a
proper and wt�ttabie connection.
�02.06 REPAiRS AND�IftR�NTENA9�CE TQ CONW�C770N
A�ter the inifiiat connectian has been made to the water sen�ice curb stop box or the sewer lead at tfre property line or a water service lead has
beer�extended to tFte property line for connection,the applicarrt,owner,or accupant or user of such premises sfhal!be liable for�1 reqairs
required ta arRy water Iine and sewer lines necessary for connettion aF the premises from the main to the premises. tf the�xaperty evorner
requests mairrtenance sernice or repairs 6e performed by the City,the proper#y oarrrer shail be charged for�the cos'�s af the mai�fier�arn�ar�d�o
repairs,includ'sng necessary street�epairs at a rate set annually by an administrakive policy, it si�ati be tF�e responsi6ility aF the appiicarre,
owner,oscuparrt or user to perform standart!mairrtenance of the sewer service line Erom the premises to the main 3nducGng debris dearir�g 4r
raot sutting and to mairrtain the water service curb stop box for operabs4ity and at such fieight as wiil ensure ti�at tt remair�s above the finished
gsade af the fand or property, {Ref 638,1156,1191)
� A
�-�/ C,t S L'�/�.
Request Number: 11433
Public Works Division
Service Request
Problem Address: 5715 Polk St Requested By: Gus Hageman
Department: WATER Address: No address provided
Problem/Issue: OT�R Phone Number: 612-718-2706
Scheduled Date: 2016-OS-09 Scheduled T3me: 10:00:00
ACTTON NEEDED:Homeowner had plumbing work done and needs the water meter re-sealed
Created by: Wendy Hiatt Date Created: 2016-OS-09
ACTION TAI�N:
....................................................../...j.Z.ri.�-�................��lY.�.........................................................................._..__.............................................__..._..........................................._....._.__.___.__...................
................................................................................................................................................................................................................................................................................................................................................................___...._____.___...
_...............................................................................__.........................................._...._................_............................................................_............................_.._.........................__................................_...._........._................._..._..._............_..._..........._........
..........................................................................................................................................................................................................................................................................................._............................__.._........___....__.._........................._................
_...................................._........_................................_............................................................................................................................................................................_..........................................:.._..._._.........._._..............................._._......._._____.._...
Status: In Progress Resident Contacted 'L,'�
Date Completed: Completed by:
,5`-- 9�l �---_
.�'
. Request Number: 11403
Public Works Division
Service Request
Problem Address: 5715 Polk St Requested By: Darrell w/Tim's Quality Plumbing
Department: WATER Address: No address provided
Problem/Issue: 'IURN WATER ArF/OFF Phone Number: 763-424-3258
Scheduled Date: 2016-04-28 Scheduled'Iime: 10:00:00
� �. �8�
ACTION NEEDED:Shut off water and leave key.Permit in process.***BILL****
Created by: Wendy Hiatt Date Created: 2016-04-27
ACTION TAI�N:
.......................................................................................................................................................................................................................................................................................__.........._....._.............._....._..._...._..__..................._.__...._.__..
� � O�—
� r `l!�1���2 - _ _
.................................................................................................................................................:..........................................................�-�.r�...........1�.. ................_...................._.._...............:......................___...__..._........__....:.....:..
.........................................................�............�..�.........��.:�._v..�............_�.-��......._C�.......t_�'�_.`..�.....�-M.............................................._.
................................................................................................................................................................................................................................................................................................................................................................................___.....___......
........................................................................................................................................................................................................................................................................................................................................................................__........__..............
......................................................................................................................................................:...................................................................................................................................................................................._.._......._...._..........................................._.
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�)��_�