Meter Swap Request Number: 13556
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Public Works Division
Service Request
Problem Address: 1161 Regis Ln Requested By: Shanuon
De�rtmeut: WA'IER Address: 1161 Regis Ln
Fridley,MN SS432
Problem/Issue: INSTALL AMR METER Phone Numberz 952-220-0023
Schednled Dat • 2017-02-23 Schednled 11me: 10:30:Q0
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ACIION NEEDED:
Creatcd by: Beth Kondrick Datte GYeated: 2017-02-17
ACTION TAI�N:
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Statws: In Progress SRbmitter Has Bcen r
Co�ted
Date Completed: Completed by:
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5431 i9niversity Av�rotae 6VE � �
Frielley,MN 55432 �� �O
763-572-3566 (�
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,l1AP� hee'�by authorize Lfie City�f Fridley and/or its empioyees to slo what is necessary to
replatp the water meter. �understand that the proper�ty oarner is liable fot the�erater line from Yhe main to the premise and a0 interior
plus�bing. {Per Crty�oc1e R02.06) i also hold the�ty o#Frid{ey and/"rrs employees harnmless#or eny slamages that may occur while doing this
,�peration. This to'snciude,but not ISmited 3o valves,piping,walts,flaors or the surb stop box and service 1ine. In understand!am also requir
to obtain a perm'rt prior to any worlc,if necessary,
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FINAL ME'TER READITfG(o!d meter� ��� � ��
Name: � Address �� p� �S '�'^� ,
PhoneNumber `����� v� • Date�� �~ f �
Signature Witne�S�nature
OLD METER#�E�� � !o—t �
OLD READtiVG �� � i �
NEW ME7'ER#�� 1 V�J� J �
N�iN READIWG l,,,J
ERT# � � � (it/ � J�
ERIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER Q911D SANITARY SEYNER
ADflAtNiSTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,i144,1156,1191j
402.5 PERMfT FEE
Prior to constructing oc repair of any water of sewer Rne connecting the euisting s�rwnicapai sys#em and arry house or buildirig for wf�ich the
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and s6a11 pay a permit fiee as provided irr
Chapter 11 af this Code. After such connecCion has been rnade,the Water and Sewer Department shaU he natified. tt shaii be u»fa�rfui to cove
any connecting line until an inspection has been made aad such connection and the wor�c incident thereto has been approYed by the�ty as a
proper and suitabte connectio�a.
402.06 REPAtRS AIdD lNAfWTENANCE TQ CONNEC{'fON
Atter the�nitla(connection h�been made to ifie water service pwurp stop box or fihe sewer fead at the property iPne or a water servii�►ead(ws
been�xtended to fihe prvperty line for connection,the applicarrt,owner,or accupa�rt of user of such premises shati be iiabie for ail repairs
required to any water ltne and sewer t�nes necessary for connection of the premises from#he main to the prem�es. If the property owner
requesis mairrtenance senrice or repairs be perFormed by the City,#he proper+ty owner shall be charged for the tosts of the mai�rtenanc;e andior
repairs,includi�g necessary street repairs at a rate set annuaily by an administrakive policy, it shaii be tfie responsbil"ity o#the appiica�,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the psemises to the main 9ndudirig debris dearing or
root cutting and to mairrrain the wate�service aurb stop box for operabitity and at such height as wili ensure that it remains ahove the flnished
grade of the land or property. (Ref 638,1156,1191�
Request Number: 11135
Public Works Division
Service Request
Problem Address: 1161 Regis Ln Requested By: Tom Foley
Department: WATER Address: No address provided
Problem/Issue: WA1ER MAIN BREAK Phone Number: 452-270-8573
Scheduled Date: 2016-01-22 Scheduled 15me:
ACTION NEEDED:Water main break in front of North Park Elementary School.Gopher ticket# 1 60220 1 1 1
Created by: Wendy Hiatt Date Created: 2016-01-22
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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