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Meter Swap f � Request Number: 16146 Public Works Division Service Request Problem Address: 550 L,afyette St Requested By: Gail Departme�: WATER Address: No address provic�d Problem/lssue: INSTALL AMR METER Phone Number: 763-780-1936 Scheduled Dxte: 2017- 6-27 Schednled 11me: 02:00:00 I � 7 '� � ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-06-26 ACTION TAI�N: � �J��' � �� Status: In Progress Submitter Has Been r, Contacted Date Completed: Completed by: �0'2��-1�1 `T'a (,t�- � . . ��� � �13��0 -01 City of Fridley Water Departrnent �� ,//,s-�r 6431 University Avenue NE �'j�j � Fridley,MN 55432 763-572-3566 ���+e hereby authorize the City af Fridtey 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 atl iriterior plumbing. (per City code 402.06) f also hold the C'rty of Fridley andjits empioyees harmless for any damages that may occur while doing this operation. This to inciude,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand i am also required to obtain a permit prior to any work,if necessary. FINAI.METER READING(old meter) � � b � � Name• `�' w�' r Address � � Phone Number �`U � '� ��� Date_�� ✓�� 6� �Signature' � WitnessSignature ✓�L-� OLD METER# � ��� v`1 !J� 4 OlD READING J� � � � �� NEW METER# �� //���� NEW READING � ERT#� L��� �� � FRIDLEY CITY CODE CHAPTER 402.WATER,STORM 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 or repair of any water of sewer line connecting the existing municipai system and any house or Iwilding 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 wch connection and the work incident tfiereto has been approved by the Clty as a proper and suitable connection. 402.06 REPAIRS AP1D MAINTEAIAP{CE TO CONIYECTION 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 seroice lead has been extended to the property line for connection,the appliwnt,owner,or occuparrt or user of such premises shaN be liable for all repai�s required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or repairs,includin�necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicartit, 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 height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) R��t f�'�r�it:�: R�p�# �iiy c�f Fr�idl�/ F�€ A�; �Qt-13-5 "f,�a �: �d9f�t'113 Tj�e= 1IYaEec�6eeaic 8�rr� [�a�t: Wa�r fi��� Ad�= �Q tl1�fA�f'ETTE,.'`,T� _ 'S�#re�ieRi�e= P�apwa�jr t�: Reqt�t Dd�s: 1lr�-�rr� Ar:�iatt Tak�: ������ ��``�� �Y ��� �-�'� ►3 � � � ��� �,� i �^� � _._. ��. . • . + Hiatt, Wendy From: do not_reply@korterraweb.com Sent: Tuesday, January 08, 2013 4:30 PM To: gsrequest Subject: Ticket 130080887 Sent by KORTERRA WEB KORTERRA JOB CITY-LOCAL-1 130080887 Seq: 4 01/08/2013 16:29:49 Gopher State One Call Locate Request ' ---------------------------------------------------------------------------- Ticket Number: 130080887 Old Ticket: By: STEPHAN S Source: VOICE Type: EMERGENCY Date: 1/8/2013 4:28:31 PM Send To: CFRDLY81 Sequence: 4 Company Information ---------------------------------------------------------------------------- CITY OF FRIDLEY Type: GOVERNMENT 6431 UNIVERSITY AVE. FRIDLEY, MN 55432 Caller: KEVIN BECKLIN Caller Phone: (763) 238-8078 Contact: KEVIN BECKLIN Contact Phone: (763) 238-8078 Company Phone: (763) 572-3566 Company Fax: Company Email: Work Information ---------------------------------------------------------------------------- State: MN Work Date: 01/08/2013 4:30:00 PM County: ANOKA Done For: CITY OF FRIDLEY Place: FRIDLEY Street: 550 lAFAYETTE ST NE Intersection: E RIVER RD Type of Work: WATER MAIN Explosives: No Tunnel/Bore: No Right of Way: Yes Duration: 4 HOURS Remarks ---------------------------------------------------------------------------- CREW WILL BE ON SITE 1/8/2013 4:30:00 PM EMERGENCY REPAIR OF WATER MAIN MARK 100 FT RADIUS OF PINK X Members ---------------------------------------------------------------------------- Code Name Phone Number ---------------------------------------------------------------------------- ANOKAC01 ANOKA COUNTY 7638624234 CCONRP01 CITY OF COON RAPIDS 7637676462 CFRDLY01 CITY OF FRIDLEY 7635723566 COMCST01 COMCAST (612) 522-8141 COMCST03 COMCAST (612) 522-8141 MINGA503 CENTER POINT ENERGY 1-800-778-9140 QLNMNI4 QWEST (800) 283-4237 1 - , . XCEL@8 XCEL ENERGY 6126304366 ZA'Y001 ZAYO BANDWIDTH 888.267.1063 Location ---------------------------------------------------------------------------- Latitude: 45.1199104774691 Longitude: -93.2877212917555 " Second Latitude: 45.1185127763189 Second Longitude: -93.2844385331329 T 36N R 24W S 3 Q NW 2 -