Meter Swap � Request Number: 16349
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Public works Division
Service Request
Problem Address: 686 Kimtrall St Requested By: Patricia Barone
Department: WATER Address: No ad�-ess provided
ProWem/Issue: INSTALL AMR METER Phone Number: 763-784-3386
Schednled Date: 2017-07-19 � Scheduled 15me: 11:30:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Crested: 2017-07-17
ACTION TAI�N:
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Status: 1n Progress Submitter Has Been r,
Contacted
Date Completed: '],_.,.��`� � Completed by:� 1 �
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�Ci�y��Fr6�61ey ��� . �j� /�V �".� 1
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Wa#E�'��(�iS'�17tB11� JV � ���i(!�
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� f43�.l�nhrersaty Avenue NE
Frisll�y,M1V 55432
7fi3-572-3565
i/we hereby authorize the City of�ridtey and/or its employees to do what is necessary to
repface the water meter. I understand#hat the property owner is liable for the water line from the main to the premise and all sriterior
plumbing. {Per�'ity code 402.06) 1 also hold the City of Fridley andrts employees harmiess for amt damages that may occur while doing this
operation. This to include,but not limited to vabes,pipirtg�,walis,floors or the curb stop box and service line. In understand t am also require
to abtain a permit prior to any wortc,if necessary.
FINAL MIEfER READIN6(otd meter} �� �� " �O
Name: ��� �(`�/�,�°Address lU V`� ���{�l.�( s�
Phone Number _/ ��� ����3 ��Q p�_ �+.- !� ' � l
`
�5ignature Witrtess Signature
Ol.D MfTER# � b-! ����
OLD READING ���� � ✓�
NEW METER# L l � ! � ���
NEW READtNG �./
ERT# _ [ ��� � ( l �
FRIDLEY CITY CODE
CHAPTER 4,02.WA�'ER,STORM WATER AAID SANtTARY SEWER
ADMINISTRATION
�9�ef Ord No 113,464,565,566,629,638,662,922,988,i144,1156,1191j
402.5 PERMIT FEE
� Prior to sonstructing ar repair of any water of sewer line connecting the existing municipal system and arry house or building for which ihe
appiication is made,the owner or corttractor shall be required to obtain a permit for such connection,and shaif pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Oepartment shalt be notified. It shall be unlawful io cover
any connecting line until an inspection has been made and such conrtection and the work inciderrt thereto has been approved 6y the�ty as a
proper and suitable connection.
402.06 REFAIRS AND MAINTENANCE TO COfkNECTiON
After the initial connection has been made fio the water service curb stop box or the sewer lead at the property line or a water service(ead has
been extended to the property line for connection,the applicant,owner,or accupaM or user of wch premises shall be iiable for all repairs
required to any water tine and sewer tines necessary#or connection of the premises frvm the main to the premises. tf the property owner
requests mairrtenance service ar repairs be performed by the C'rty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualty by an administrative policy. It shall be ifie responsibility of the applicant,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the arater service curb stop hox for operabilifit>and at such height as will ensure fihat it remains above the�nished
grade of the tand or property. (Ref 638,1155,1191)
Request Number: 7493
Public Works Division
Service Request
Problem Address: 686 Kimball St Requested By: Stan Barone
Department: WATER Address: No address provided
Problemllssue: FROZEN WATER SERVICE Phone Number: 763-7843386
Scheduled Date: 2014-02-11 Scheduled Time:
ACTION NEEDED: Frozen water service
Created by: Wendy Hiatt Date Created: 201402-11
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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