Meter Swap Y Request Number: 15737
Public Works Division
Service Request
Problem Address: 324 konton St Requested By: Charles Seeger
Depxrtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-242-2026
Scheduled D�te: 2017-06-06 Schedaled 11me: 11:00:00
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ACIION NEEDED:
Crented by: Wendy Hiatt Date Created: 2017-06-OS
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�6ty o��radley
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6431�niversity Aver�ue IUE
s Fr6c19ey,MN 55432 �� � L L'�j/'
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1/we he�eby autho�ize the City of Pridley and/or its emptoyees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the�nrater line from the main to the premise and a!1 irrter�or
plum6ing. (Per City code 402.06� 1 also hold ifie City of Fridley and/its employees harmless for any damages that�nay occur while doing this
operation. This to indude,but not limited to++alves,piping,walis.floors or the curb stop box and senrice Iine. in understand t am aiso requir�
to abtain a permit prior to any worlc,if necessary.
FI{VAL METER READIAtG(o1d meter] � � �� �i�D
Plame• �./ � Address _�� �`�ll�.�i^ � +
Phone lYumber " p� �""�� ��
�Sig�e ess Sigrtature
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OLD READlNG LJ ���--��y�
NEW NfETER#�'� v���2
NE1l1l READING� -
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FRIDLEY CITY CODE
CHQPTER 4,O2.WA'!'ER,ST�RM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing ar repair of any water of sewer line connecting the existing municipal system and any house or building for which fihe
application is made,the owner or co�rd�actor shatl be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaN be notified. It shall be untawFul to cover
any connetting line unti!an inspection has been made and such connection and the work incPdent thereto has been appro�ed by the City as a
proper artd su+WbPe connection.
, 402.06 REPAIRS AND MAINTENANCE TO COPlPIECTI0IV
After the initiat connection has been made to the water seroice curb stop box or the sewer iead at the property line or a water service lead has
been extended to the property line for sonnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the property oarner
requests maintenance service or repairs be performed 6y the tity,the property owner shali be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poiicy. It shaii 6e the responsibil'ity of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as wiil ensure that it remains above the finishet!
grade of the iand or property. (Ref 638,1156,1191j
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Ci�y of Fridley
Water Department �
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Address���
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Name ��...� u �e Seeq��
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Date �'�� I � � ��
Old Meter Number '� � � �
Old Meter Reading ��`� `v ----
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Replacement No. �
Replacement Reading
Replacement Make a�
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Remarks: �/'� �
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Request Number: 5991
Public Works Division
Service Request
Problem Address: 324 Ironton Requested By: Charles Seeger
Department: WATER Address: No address provided
Problemlissue: NO WATER(WATER) Phone Number: 763-784-7441
Scheduled Date: 2013-04-10 Scheduled Time: 02:00:00
ACTION NEEDED: Snowbird. Just arriv�ed back to MN and has no water. Possible frozen service?
Created by: Wendy Hiatt Date Created: 2013-04-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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