Meter Swap �
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Fridley
Request Number: � �L{b i
Public Works Division
Service Request
Problem Address: 7436 McKinley St Requested By: Alisa Gutierrez
Department: WAT'ER Address:
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Problem/Issue: INSTALL AMR METER Phone Number: 763-571-5337
Scheduled Date: TL, Scheduled Tune:
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ACTION NEEDED:
Created By: Wendy Hiatt Date Created: 2017-12-07
ACTION TAKEN:
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Status: - Submitter Contacted: false
Date Completed: Completed By:
Hours: 1
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Hiatt, lNendy
Subject: Alisa Gutierrez 763-571-5337 AMR install, had cancelled last appt
location: 7436 Mckinley St NE
Start: Mon 12/11/2017 7:30 AM
End: Mon 12/11/2017 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
1
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City of Fridley /�� �� f
Water Department v �
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
IJwe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) l also hold the City of Fridley and/its employees harmless 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 I am also required
to obtain a permit prior to any work,if necessary.
FfNAL METER READING(old meter) � �+" � � ���
�1��,t C'�u Fc=��'�'�`Z �7 Ll3 (p G��.c���C�e y� s�.
Name: Address
Phone Nu er��� ✓ ��� _� " Date ��� L t ` � `
�(/[Signatu Witness Signature
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OLD METER# � ��� � � �� SIZE & STYLE (Circle)
OLD READING `� `_' �� � �� 5/8" HEX
NEW METER# ���� '" � � � 1" HEX
NEW READING � 1�" ELIPTICAL or HEX
ERT# f �� ! " ��v 2" ELIPTICAL or HEX
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 conneding 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 connedion,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 6e unlawful to co�er
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia{connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,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 of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andior
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the 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 height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156.1191)
v
, � Request for Service Report
�ity of Fridiey
Reference No: 601-11-2921 Date: 03/18111
Request Type: Turn water oFF�on Entered By: Wendy Hiatt
Department: Water Citizen Name: JoshualBen Franklin Plumbing
Address: 7436 MCKINLEY ST NE Callback Phone: 612-822-5292
Scheduled Date= 03I21111 ��AM �o Property Owner: Alyssa Guitterez
7:�C)
Location Details: Permit#2011-0�311 Requext Details= Shut waker oFf_ Lea+re key
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Action Taken:
�_____._____..__.___ _. _.__ __
j.�.,.��� �;��p�- �t-�� ��7 �
City of Fridley
Water Department
b431 University Avenue NE
Fridley MN 55432
(763) 572-3561
U e �`��G ���C Y'r2 hereby authorize the City of Fridle and/ar its
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employees to do what is necessary to shut off the water at the curb stop box. I understand
that the property owner is liable for the water line from the main to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees harmless for any
damages that may occur while doing this operation. This to include, but not limited to,
sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I am also required to obtai.n a permit prior to any work.
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Na.me:,���S�l, ��,,,"t'.Q� c�Z Adciress: �43� �C�6-��r�.�� �"� �t.
PhoneNumbe • �o�J��(Q `��1�- Date: �"'�� `� ��
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Signature: ` �r�,Q�
Witness Signature: ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SA1vITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERIVIIT F'EE
Prior to constructing or repair of any water or 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 obtam a
permit for such connection,and sha11 pay a penmit 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 inspecrion has been made and such connection and the work incident thereto
has been approved by the City as a proper and stritable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
A$er the initial connection has been made to the water service curb stop bax or the sewer lead at the
property line or a water service or sewer lead has been extended to ttie property line for connection,the
applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any
water line and any sewer lines necessary for connection of the premises from the main to the premises. If
the property owner requests maintenance services or repairs be performed by the Ciiy,the property owner
shall be charged for the costs of the maintenance and/or repairs,including any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility of the applicaut, 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 ensi.u�e that it remains above the finished grade ofthe land or property. (Ref 638, 1156, ll91)
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