Meter Swap ,
Request Number: 15934
< Public works Division
Service Request
Problem Address: 239 Liberty St Requested By: Alex
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-788-2594
Scheduled� • 2017-06-15 Scheduled Time: 07:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-12
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed 6y:
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���y o���d'�,r 3 ll� — -�-J 1�j721� — c� 2
1N'ater Departa�raent ^
�439.l�niversity Averaue NE `l� '� j���
�.r
' FredOey,MN 55432
� 7fi3-572-356�
'�'iVe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the�ropee�l,y owaner is 1'sab(e far the water line from the anain to the premise and all interior
plumbing. (Per City sode 402.06j e also hold the City of Feidley and/its employees harmless for any damages that may occur while doing this
operation. 3his Lo include,but not limited to valves,piping,walls,floors or the curb stop box and service line. tn understand 1 am also require
to obtain a permit prio�co any avork,if necessary.
FiNAL ME'�ER READING(old s�sieter) l.,/ l I � C-� '`�l./
Name: ��� Address �� � l� �` (��
Phone Number `�� ��� � L�J- t'1 �ate � � V,�� � i
�Signature Witness Signature�
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O�.DNtbE'tER#_��J � ���
OLD READINC� _ �) I I � �� �--��
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NEiN READING �
E��# �1Z22 �[�.0�
fRfDLEY�ITY CODE
CF�A�TER 402eWA�E9t,S�OfftMl 9IVATER AND SANITARY SEWER
ADMtNlS3'RA'�90r1
(�tef Ord No 113a 464,565, 566,529,538,662,922,988, 1144, 1156,1191)
402.5 PERMIT FEE
Prior to�onstructing or repair af any water of sewer line connecting the existing municipal system and any house or building#or which the
application is made,the owner or contractor shall be required to obtain a perenit For such connection,and shall pay a permit fee as provided in
�hapter 11 of�this�ode. Afiter such connection has been made,the Water and Sewer Department shall be notified. It shall be un(awful to cover
any connecting line unti!an inspection has been made and such connedion and the work incident thereta has been approved by khe City as a
proper and suitable connection.
402.06 R�PAIRS AiVD MAINTENAIVCE T�CQNNEC'T{ON
After the initial connection has been made to the water service curh stop hox or the sewer lead at the property line or a water service lead has
been extended to the pr4perty line for connection,the applicant,owner,flr occupant or user of such premises shall be(iable for all repairs
required to any water tine and sewer lines necessary#or 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 maintenartce and/nr
repairs,inctuding necessary street repairs at a rate set annua![y by an administrative policy. ft sfiall be the responsibitity of the applicant,
owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main inciuding debris clearing or
root�utting and fio rnaintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade afithe(and or�aroperty. (Ref 638,1156,ii9ii
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City of Fridley ���'�"5���
Water Department
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Address L„��j ��
Name �,¢��q Ll„t ��i�!� �3t<T►D1�,..
Date '�'— ��y�
Old Meter Number
Old Meter Readin � � � ,��
ReplacementNo. �r, �� �
Replacement Reading
Replacement Make��C-�
ERT#
_ , Replacement ERT#
; -}—
_ Remarks: r�D ZC� m�;��
_ Signed
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� Rerere,�Ca �yo. 601-08-0799 ������� �-��' �����L' ���t�� , . .
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Servic2 Re�uests� �hut water off Daie 12/29/08 ���� 1:40 PM-
De�artment Public Works ���is�on Water ._
Location of Servica r,eed 239 Liberty St lNE
Owner or�gent oi Pra�es�ty ��Q�e: ��)
l�ame of Citiz�n Phone: (H)
Address ��
Detaiis of Ret�u�st please turn water off. House is vacant � there is water damage from
freez�n� pives. (Brad received call Sunday 12/28/08)
** Bill LaSalle Bank Nationa Assoc. _
Sagon Mortgage Services �
4708 A�Iercantile Dr N
Ft Worth' T% 76137
Ret�uest Tak�� By: Jeana
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De{�ariment _ �)�(�
Person responsible for request ��E ��� Tiile
Activn taken (inciude da�e &communication wiih citizen) (�.�� �,�-� (^��� �
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Date Cleare� ` q �� Citizen na�ifie� Yes No
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ignatur� of pers�n cfearing requ�st