Meter Swap � Request Number: 12391
Public Works Division
Service Request
Problem Ad�dress: 7562 Able 5t Requested By: Nac�y Albrecht
Departme�: WATER �ddress: No ad�ess provi�d
Problem/Issue; INSTALL AMR METER Phone Number: 763-786-142'7
Schednled Date: 2016-12-13 Scheduled 1lme: 09:00:00
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ACTION NEEDED:AMIZ
CreMed by: Wendy Hiatt Date Cre�ted: 2016-12-08
ACTION TAt�N:
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Status: In Progress Sabmitter H�Been �
Cont�tcd
Date Compteted: Completed by:
Hoers
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City of Fridley � �� �1_ ,��
Water Department �D J
. ° ' � 6431 University.Avenue NE
' �� Fridley, MN 55432 '°�� � �� ��(�� �I
' 763-572-3566
Vwe hereby authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit p�ior to any work,if necessary.
FtNAI METER READtNG{old m�ter} L. ' `�� `',�' -1 �
Name:����"1 ��JCe•L�� Address__9/1�� �V�C� � \
Phone Number �6 J�7 v� ��Z� p� ``7f' I'� � ,�
,�__s"°"°��
�Signatu " Yltitness Signature
OlD METER# tt)� b1 � 1 �g'�
OLD READING Z(�, ���
NEW METER# �� 1 1 E/J��
NEW READING �
ERT# � ��� � Z�{Z
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEINER
ADMINISTRATIOAI
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or buildi�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided io
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be notified. it shall be unlawful to wver
any connecting line urrtil an inspection has been made a�d such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user af such premises sfiati be tiabie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests matntenance service or repairs be Qe�farmed by the C'�ty,the property�voer shaN be charged for the costs of the maiMenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appliprrt,
owner,occupant or user to perform standard mairrtenance of the sewer senrice tine from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 11122
� Public Works Division
Service Request
Problem Address: 7562 Able St Requested By: Scott Albrecht
Department: WATER Address: No address provided
Problem/Issue: WA'IER MAIN BREAK Phone Number: 786-1427
Scheduled Date: Scheduled'Iime:
ACTION NEEDED:Water pooling at the end of driveway.Possible service leak.Gopher ticket#1601901136
Created by: Wendy Hiatt Date Created: 2016-01-19
ACTION TAKEN:
�I1.)��1� 1���� `J� �l� ���
............................................................................................_.........._...................._..............................._.........................._. L._.._.
....�.._._.............................__....._............�.......,.._............_...J'............._................._...... ......�...._�
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............................................................................................................................................................................._._................................_......_................._........__.................:.........___........._...._..................__..........................___...._........._............._.._
..............................................................................................................................................................................................................................._...................................__......................................._.._................_....____.._........_._.._....._....................._.
...........................:...........................................................................:...........................................................................................................................:...................................................................................................................._.................______...........
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
�
, ��- ��
Hiatt, Wendy
From: � do_not_reply_mn@korweb.com
Sent: ' Tuesday, January 19, 2016 8:13 AM
Ta gsrequest
Subject: Ticket 160190113 Sent by GSOC One Call
KORTERRA JOB CITY-LOCAL-1 160190113 Seq: 1 01/19j2016 08:12:35
Gopher State One Call Locate Request
----------------------------------------------------------------------------
NEW
Ticket Number: 160190113 Old Ticket:
By: mnalliso Source: VOICE
Type: EMERGENCY Date: 01/19J2016 8:11 AM
Send To: CFRDLY01 Sequence: 1
Company Information
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CITY OF FRIDLEY Type: FACILIN OPERATOR
6431 UNIVER5ITY AVE
FRIDLEY, MN 55432
taller: 7ASON WIEHLE Caller Phone: (763) 572-3566
Contact: 3ASON WIEHLE Contact Phone: (763) 238-8074
Company Phone: Company Fax:
Company Email:
Work Information
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State: MN Work Date: @1/19/2016 8:15 AM
County: ANOKA Done For: CITY OF FRIDLEY
Place: FRIDLEY
Street: 7562 ABLE ST NE
Intersection: 76TH AVE NE
Type of Work: EMERGENCY - REPAIR WATER MAIN
Explosives: No Tunnel/Bore: No
Right of Way: Yes Duration: 4 HOURS
Area Marked: No
Remarks Information
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MARK ENTIRE FRONT HALF OF LOT TO INCLUDE RD RfW
CREW ON SITE
Link To Map_LINK for CFRDLY01: http://mn.itic.occinc.com/RLAW-RZF-2RC-ACA
Facility Operators
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Code Name Phone Number
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CFRDLY01 CITY OF FRIDLEY (763) 572-3566
COMCST03 COMCAST (612) 522-8141
CTLMN01 CENTURYLINK - CTLQL (855) 742-6062
MINGAS@3 CENTER POINT ENERGY - MIPIGA50 (800) 778-9140
1