Meter Swap - Request Number: 14871
� Public Works Division
Service Request
Problem Address: 7664 Jackson St Requested By:
Department: WATER Address: No a�ress provi�d
Problem/Issne: INSTALL AMR METER Phone Number:
Scheduled D�te: Schedaled 1ime:
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-04-21
ACTION TAi�N:
Status: Tn Progress 5nbmitter Hsa Been r.
Coittacted
Date Completed: Compteted by:
' ' !� �l��, '� �
. �'
" City of Fridley �� ��7 �
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is neassary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: Address ����_ Y�P��
Phone Number Date_ `�1 i�_ �'7
Signature Witness Signature
(
OLD METER# 1 O ���70 I
_ -------_�-_ _
OLD READING t�-1 � ���� �II
' IIII
III
IIII
II
I
IIII
IIII
�I
IIII
lu
NEW METER# � 4920815$ '
. ___ _
NEW READING �"
ERT# � �aa3o�� 7
� �
FRIDLEY CITY CODE �y
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ��
ADMINISTRATION e i��
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) �"��� �
�1��D�
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall 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 Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.� 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 urvke lead has
been extended to the property line for�nnection,the applicant,owner,or occuparrt or user of such premises shall be liabk for all repairs
required to any water Iine and sewer lines necessary for connection of the premises from the mai�to the premises. If the property owrner
requests mairrtenance senrice or repairs be perFormed by the City,the property owner shall be charged for the cbsts of the mai�kenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of d�e 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 operability and at such helght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
�� �� ' �
��, a����er�,rr�;; ,,,, � °.
. ��� „
.
� �.������r�:� �' „ ;�. s
, , �,,, ,
r�. . ,.� .___ ____... .�_W _...._ .;�.. ,,,
,,
��v���� �F; f �,.: `� F
„ ,.
3t��52��C�1-Ql , �, , ..
�
� �
� ��, � '�� �,:_
; ' �E�4;A�!€S{3Pt Sf t� FRICtCE"C C�Ih�.5S432
� �°� - 6.- `e` � . � �W :�' `"7j'""_\ `� � ��.. r� :�a �
�
` ...,: Rt:a3i[�gS,,. �w,,:. ,, " , ,:ct� /
�� ,: . „, , ... ....., . :,. �; � .:.. �
�t�c �€tn��aE€�. ����e;aci t'sra#��Gat� �t�r R�itng �3+e��nd���� ��"��€��d�g'�, ,6,e��(3��C}tt� , i���t�[s�i�d '��atti Ty�
w. ,�� . . ,.�,... � w_ �� m.. _� �, �. , ,� w, a� ; „�
t� , ,.,
�,, w
�
�1 � �.j 1 _� -����� �( �-
► ��� �.%,��� r>�.rf;''. r,i;.:." 7t7`�,,z�m- �.�w�:: � ,�
�rsm,�s, '�s � , ,,,;,':�"l7,;�� �� .,..,�s, �., �'.... ,
73��F7i�1 ' t}EFd���L7 1'�r'3172£�1� �.9�.�� €fk'�+i�1a ; H' d
1815f�i`GI i�EF"a'.iLT :`i31fZiYY�i ��Lis'.4'i(.g 7,'23r't''�a1�a Nrr�izeAe
�$t5'".t73�� k�FF�E1L� ���#736 �.�.�3 �4a'2e'fl"z{��£`s ' N` t$
182��7c�t GEF�Ut�T 1i31;�1� ��?�'<14t� 1it5<i�15 N�r�ld
1$��i 1 I3EF�tlLT 1fl133i2t}1S 4,�.� t{�Z78�d3Y5 ' ki'
;
��u'¢��{}� ... �SFFNFa��.? �� 7f,���dc�.1���� '�d.�3��.�1 ... .... ... �� �z'.'��ic�illa.�.�.��. .. ... �
*r$B�7#�'! C1�F,'�J�i Tsf'EiC 375 ' 4.�.4'� S3�" :
181�}7L1 €}EF?cULT 7T31(�(375 4,�'.,t2.f� 1'3tI2015 : (�1at�ua!
1$1�Q?!S1 ' L�EF�tlL7 : tf�6��k'3�' �. ..i� '€��t1�3�� '
#�1�}7t}7 _ t?EF�ULT 7t3i.r1Q3� #.a'8�,� 7;3�124}t�' tI
_ �St 1 L��#11L7 . _,.; , �.` €A . .�.�7 7� ;.;`�
181�3�(32 t�EFR�L�' ' 1t31C2Ji4= 4.747.4� 1136P�5t4', � _
��1��8'� '--'�3�F,#�LT "'���zt'�1� ', 4.7�9.t�# ;'��Y7� ; s '+ %
18i�?Q1 DEF�ULT 3t31t�013 +�.&?9.i� 713�r�13 .
,,..
'��1�'87I3� ' LtEF�.� .:... �:. : . �:� , . , ' ' ...., " : .: '� "' .:
_, . . ..; ..�� s_ , ,
1�1�iB7fk1 [�EFAULT 1f3�,'�i13 ,4,�5t.4k� ti311�13 fik�a�el ,i
,� � : . . �.__-
�'1,��1 CS�Fa�t1�T �: t#�f�t}3� ' �.6��. � �, �� ' '� ', � � ,'.:,
� �� .�� ` -
� �:< _ f �._. �
181��d�7 DEFl,UL7 ?J31.:�fl72 �,5�F.t%f� 7,�'31i70�2. � ;'
� 7�1�#T#i� I�S�E11.� : �' � �`� �47�. ��
� -._ .,. ',.. ,'., , f < .: ,,.... ., , �
� n"� � � ��� ,� ._
' � �e
. �c..
!�1^-�2e,J
f}�M/Z � y_� UJ�'�^" ``l'jyw�'�`� �K�'1.��
. � /�♦
� � G� �.,�- /�r.��"
f
Request N um ber: 7235
Public Works Division
Service Request
ProblemAddress: 7664 Jackson St Requested By: Jerry
Department: WATER Address: No address provided
Problem/Issue: LOW WATER PRESSURE phone Number: 763-784-8339
(WATER)
Scheduled Date: Scheduled Time:
ACTION NEEDED: Low water pressure after water break on street was repaired today.
Created by: Wendy Hiatt Date Created: 2013-11-19
ACTION TAKEN:
_............................................................................:.W��.........._<�`�S_U�.�.........._�-U_�-�......._�1.��.........�"'�."..............................................................._
.�..
_.............................................._l-..P��..........�..�.._,..2�.......-t�:�.._�..................�<.�Tu�C:...(�......._s.�.._�.._��...:._c�..�:�...........���....�.....'....................._
�
_..............................................�-!....5.................1..��:�...Z....._�1_�..1..�...._wP.r���...._�._`_���..t...�-......�......���...........�....{ �:�.._�........................................_
...:...................:....................................................................................................................................................................................................................................................................................................................._.........................._..............................................
..:...............................................................................................................................................:.........................................................................................................................................................:...................................._................................_...:.:...............................
............................................................................................................................:............................................................................................................................................................................................................._.............................................................................
Status: In Progress Resident Contacted ❑
Date Completed: Completed
l I �--��- !
�
Request Number: 7233
Public Works Division
Service Request
Probiem Address: 7664 Jackson St Requested By: Richard
Department: WATER Address: No address provided
Problemllssue: WATER MAIN BREAK Phone Number: 763-786-2548
Scheduled Date: Scheduled Time:
ACTION NEEDED: Possible water break on 7600 block of Jackson St.
Created by: Wendy Hiatt Date Created: 2013-11-18
ACTION TAKEN:
........:.............................:............:..........................���......����..._-........................................ _�_�_cz.�.........._�.._l._���:..-�_3._._......_.__...__
_......................................_......................._.......................................................................................................................................:....................................:................................................__................._..._.............._......_.._.....................................____..........._
_.........._.._................................................................................._..........................................................................................................................................................................................._.............._......................._..................._...__.._...._..._........._...._................_
.................................................................................................................................................................................................................................................................................................................................__..................._.______y.__...........................__
...................................................................................................................................................:......................................................................................................................................_..._...............................__........._._._......_.......___.._.....:...........:..........._._
_........_................................_......................................................:..........................................................................._.._.........................................................._..................._.............._......._.__.............._..._.....:........._.____......._....._..............:_............._...__....._
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
I 1 - I�-�3