Meter Swap Request Number: 12550
Public Works Division
Service Request
Problem Address: 175 Craigbrook Way Requested By: Logan Miller
Department: WATER Address: 175 Craigbrook Way
Fridiey,MN 55432
Problero/Issue: INSTALL AMR ME1ER P6one Number: 763-732-2303
Scheduled DAte: 2016-12-29 Schedaled Time: 11:00:00
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ACTION NEEDED:Install AMR-lack of readings-per Sandi H.
Created by: Beth Kondrick Date Created: 2016-12-22
ACTION TAI�N:
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Status: 1n Progress Submitter Has Been �
Contacted
Date Completed: t a..` �.�� I� Completed by:
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` City of Fridley
Water Department
6431 University.Avenue NE �j��j-�S�d yl�''��
Fridley, MN 55432
763-572-3566 C o � �� �
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�lWe hereby authorize the City of Fridley 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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to irtclude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) � V � ✓ ���
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Name• LG`'�CI�V� ��' d1�" Address_ C•�'
Phone Number c�3 -� 3a —9�3 0 3 Date 1� � � L J✓`�
: Signature � Witness Signature �+
OLD METER# 3� �13`�5 � A
a � �3 �7�0 ���`
OLD READING _
NEW METER# � ` ` � v�7�
NEW READING �
ERT# � ��� � � � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION F-
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstruding or repair of any water of sewer line connecting the existing municipai system and arry haise or building for whid�the
application is made,the owner or contractor shall be required to obtain a permit for such connectioo,and shail pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any conneding tine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suiWble 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 applicaM,owner,or occupant or user of wch premises shail be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintenance seroice or repairs be performed by the City,the property owner shall be charged for the wsts of the maintenance and/o�
repairs,including necessary street repairs at a rate set an�ually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabil'rty and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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� � p a�aar�ss � ���L� C�?„L�.1C��`���:�`'� ������
' Name �rU-�. "V ltl�nS ���'�
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Date L��'�'�� "
Qld Meter Number J� a —
O1d Meter Readin � ��
Replacement Na.��' � 43 �5O
Replacement Reading �
Replacement Make '���-
Remarks• �l.-(� rn��� -
Signed
� � �����"c� No. 601-OS-0190 F�eqt�est ��r S��>ee R��o� . .
��ty o� Fr�dley
Servsce Requested Turn water on at street Date �+/1 J08 �-;m� 10•00 -
Department Public Works Divisian Water
LoCation afi Service ne�d 175 Craigbrook Way
Owner or Agent of Property Bell:er WiTliams Real Estate Fhone: (H)
Mame of Citizen Phone: (H) .
Arldress �
Detaifs of Request . �m Water on at street Ap t 's�t for iied, April 2, 20�8 at 1.:00pm
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eller W1u.3.3IDS �i ��1� ��� ,
M:ike Olsoa -
659 Bielenberg Drive
Suite 100
Woodbury, MN 55125
Request Taken By: Wendy
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