Meter Swap Request Number: 13214
Public Works Division
Service Request
Problem Address: 1282 Norton Ave Requested By: Jeanette
Department: WA1ER Address: No address pcovided
Probiem/L4sue: INSTALL AMR ME'IER Phone Number: 763-355-49�7
Sc6edaled I�te: 2017-02-09�� ����daled'Iime: lO:OQ:00
ACTION NEEDED:
Created by: Wendy Hiatt Dste Cre�ed: 2017-02-02
ACIION TAKEN:
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Statos: In Progress s�bmther A�a Beea r
Coatacted
Date Completed: �" "1 .� � Completed by:
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�43].dletrvea"sityr Avenut Rl�
F�rietley, MN 554�32
' 753-5?2-3556 � ' � � �� / +�( L� �LI
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I�tAP� hersby autharize Yhe C'rty of Fridley and�or its ernpioyees to c!o wt►at es necessary ta
replace the water rneter. !�nderstand ti�at the property owner as tiab{e for the water line from the main to ihe premise and aii enterior
piurrrbing. (Per City cosle 402.06) i also hold the CFt�j vF Fcidiey and�#s employees harmiess#or any damages thaC c�nay occur while doing this
o�aer�ation. This to include,bufi not limited io vaives,�tiping,walts,floors or the curb stop box and service line. !n understand 1 am aiso requl�
to obtain a permit p�o�r ta ar�y�rar4c,sf necessary. ��� �Z��
FR1tAL RAETER READ4WG�old meterj_ 1,� �� �� V�
f�ame•..J� 'r�-�,Q�'�'�L Address b�V� �� �''e•
PhoneNumber ��� �✓ d� - � 6�7 Date �r �' ��
5ignature Witrsess Signature 'J�
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ow R�aniHG d �9��v s��
RiEW METER#__ 1�� V� 6 �
1WEW READING Q
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FR(DLEY CITf CODE
CHAPTER 402.WATER,STORM WATER AND SANII'AitY SEWER
ADM1f1iiSTRA'CION
{Ref Ord No 113,�,565,565,529,638,662,922,958,I144,IZ5fi,1191j
402.5 AERMIT EEE
Prior to constructing or repair of any wafier of sewer tine connecting the existing municipal system and arry hause or iwildirig for�rhich the
app(ication is made,the owner or corrtcactor shatf be required to obtain a permit for such connection,and shail pay a permit f�ee as provided in
Chapter 11 af this Code. After such cannection has been made,the Watec and Sewer Departmertt sha8 be nattt'ied, tt shatt be uniawfui to covE
arry connecting line uirti!an irtspection has 6een made and such connectian and the wor8c incaden#thereto has been approved by the�Lij as a
proper and suitabte connection,
402.06 ltEPAiRS AAID MAffyTEtYqNCE TO C011lNEC770N
After the initiat connection has been made to the water seruice curb stop box or the sewer lead at the property line or a water servic�e lead has
been extended to the property fine for wnnection,the appiicartt,owner,or accuparit or uset af such premises sfiatl be fiaWe fior al!repairs
required tv any wa#er l�ne and sewer tines necessary#or connection of the premises from the main to the premises. If th¢property owner
cequests mairrtenance service or repairs be performed by the C'rty,the property owner shaN be charged for fihe�of the mai�rtenance and/rn
repairs,including necessary street repairs at a rate set annuaiiy by an administrative poliry. it shali be the responsihility of the applicarrt,
owner,accuparrt or user to pec#orm sCandard mairrtenance of#he sewes ses�vsce line from the premises to the main anclud�ng debris dearing or
root cutting and to maintain the water service curb stop boK for operab+l�ty and at such height as wiil ensure tf�at it remains above#he finished
grade of the iand or property_ (Ref 638,1156,1191J
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Name ;G�c�n /'Q�S .r� �
Date % �' v �
Old Meter Number .� �� �-_
Old Meter Reading � l �l dc�'
Replaeement No._ � �"f�' �� �-��j�
Replacement Reading d
Replacement Make c �,/"
Remarks:1��� f�j e�lr..j��
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Signed-✓�~
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Referenc� No. SO1-U8-0204 ������$ ��� �t?!'��C� �C��7t"� , .
�t�✓ �$ ��"8�jf:�!
Service Rer�uestsr� cizan�e old meter Date 4/4/08 Time 3:00 i�
. Department Public Works Division Aater
Location of Servics ne�d 1282 Norton Ave PTE �
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�wner or Agent ofi Property Don Nelson � Phone: (H)
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Name of Citizen Phone: (H) . .
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Address �
Detdiis of Re�uest please cha.nge old meter. � Appointment set for Tuesday, April 8, 200$
(� 1:OQ'PM. : While vou are there can ou '�ust look at the plumbi.ng work In 2000 they put . .
� 2' meters & since then this address has always ha.d double cansumgtion Sandi looked �
did no�.�-see ang inspection after tliey di.d fihis. Please advise, could a11 the water .
from l�th sides be going through �tfiis one meter?
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, Re�uest Take��By: Jeana
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Person responsib�e for request Tit1e .
Action taken (inc�ude date &comm�unication wiih citizen) ,���iwz���.-r� �;��� �-,�y��� �
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Date C�leared � �-�'� � Ci�izen n�ti�i"�r�, Ye�% No �
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�gnature of persan ciearing'request _�----------�C.,.�/'`'��� �
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