Meter Swap Request Number: 13145
Public works Division
Service Request
Problem Address: 1395 Onondag�a St Requested By: Jim Hubb
Deputme�: WATER Addresa: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-786-7414
Sc6ednled Date: 017-02-03 Sc6ed�led 1lme: 01:30:00
� r� ,
AC'IION NEEDED:
Created by: Wendy Hiatt Date Created: 201�-01-27
AC'1ION T
+ �
Status: In progress �nbmitter Iina Been �,
, Co�uted
Dytte Completed: Com�eted by:
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�vatea-93�par�a�sent
�431 lJndversity 1�1ver,aae Rl� S (� � oZ, ,��
Fridley,MPi 55432 �
' 7�3-572-3566�-� � �� � �L'.,,_(J �
, i3 ..
�O�e her�by authorize Yhe�ity�f Fridley and/or its empioyees to do what is necessary to
replace the wafier sneter. 1 understand ei�at the properky oarner is iiabie for the�erater line from the main to 4he premise and all irnerior
piuenbing. (Per City cosle 402.06� i also hold the City af F�idley andrts employees harmless for any slamages tteat may occur while doing this
operation. This to inciude,but not limited to valves,ptping,walls,floors or the curb stop box and service line. In understand i am also requir
to obtain a permit prior to any yvorlc,if necessary.
FIAIAL METER READING(old meter) � � i��
�� �� Address - 1 V
Name:� `
Phone Number_� �( ��^��+�p� �Y� ��
Signature �_ Witness Signature -
O�D 11AETER# 1�P�,����i�
OLD RfAD[NG ��)Y���
.tJ-�-
f1iEW METER#_ I��
NEW READI111G �
ERT# �� C�V�t )�"'f �-
�,�'�C `�,`,°w° �` '� -��"�°
f'ti'`�`' �_ t, �,�%�
41u��'�x
FRIDLEY Ci�CODE� ��
CHAPtER 402.WATER,STORM WATER AND SANITARY SEWER
ADM19111STItATiON
tRef Ord Mo 113,464,565,566,629,638,662,922,988,1144,i156,1191)
402.5 PERMiT FEE
Prtor to constructing or�epair af arry water of sswer lioe connecting the existing muniapal system and a+ry house or buildir�for which tfle
application is made,the oarner or corrtractor sha(1 be required to abtain a permit for such wnnection,and shall pay a permiTfee as provided in
Chapter 11 of this Code. After such connection has beea made,the Water and Sewer Departmem shall be notified. !t shail be uniawful to cove
any con�ecting line untii an irispection has 6een made and such connedion and the worlc inciderrt thereto has been approved by the City as e
proper and witable connectian.
402.05 REPAIRS AND MAINTENMICE TO COMNECTION
After Che initial connection has been made io the water service ar1�stop box or the sewer tead at the property line ar a water service lead has
6een extended#o the property line for wnnection,the appiicarrt,owner,or accuparrt or user af wch premises shali be 1'iable for afl repairs
required to any water line and sewer lines necessary for conaection of the premises�From#he main to the premises. tf the property owner
requests maintenance senrice or repairs be perFormed by the C'rty,the properly owner shali be charged for the costs af ihe malm�enarx:e and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. tt shali be the responsbility vf the appficarrt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main inciuding deimis dearing or
roo#cwtting and to mairrtain the water service curb stop box for operability and at such height as wili ensure tfiat it remains a6ove the finished
grade of the land or property. �Ref 638,1156,1191)
� Request Number: ll117
Public Works Division
Service Request
Problem Address: 1395 Onondaga St Requested By:
Department: WATER Address: No address provided
Problem/Issue: WA'IER MAIN BREAK Phone Number:
Scheduled Date: 2016-01-18 Scheduled 15me:
AC'IION NEEDED:Water Main Break.Gopher ticket#160180052
Created by: Wendy Hiatt Date Created: 2016-01-19
ACTION TAKEN:
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....................................................�..�....._. _.......................:........................._...:_.......�...T .................___....._..............�.__..............................._..._.................�....._.._................._._.........._.__.................�..__....._.
................................_�c....�..�.__..............._�:�,Q.�_�.''='P_°�...................._..�....'..�.�...-....�..._�..........................___.._............_.
............................................................................................................................................................................................................................................................................................._........................._...................................._.___.........._..___....
.............................................................................................................................................................................:......__......................................................._.........._..........................._............_..................._.__...................................._......._..........................
Status: In Progress Resident Contacted ❑
Date Completed: Completed by: ,1
-L�
�-c�-� �
Hiatt, Wendy
From: do_not_reply_mn@korweb.com
Sent: Monday, January 18, 2016 8:56 AM
To: gsrequest
Subject: Ticket 160180052 Sent by GSOC One Call
KORTERRA 70B CITY-LOCAL-1 160180052 Seq: 1 01/18/2016 08:55:37
Gopher State One Call Locate Request
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NEW
Ticket Number: 160180052 Old Ticket:
By: mnmonica Source: VOICE
Type: EMERGENCY Date: 01/18/2016 8:54 AM
Send To: CFRDLY01 Sequence: 1
Company Information
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CITY OF FRIDLEY Type: FACILITY OPERATOR
6431 UNIVERSITY AVE
FRIDLEY, MN 55432
Caller: GARY BULAN Caller Phone: (763) 572-3566
Contact: GARY BULAN Contact Phone: (763) 238-8069
Company Phone: (763) 572-3566 Company Fax:
Company Email: 7ENSEN7(aICI.FRIDLEY.MN.US
Work Information
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State: MN Work Date: 01/18/2016 8:45 AM
County: ANOKA Done For: CITY OF FRIDLEY
Place: FRIDLEY
Street: 1395 ONONDAGA ST NE
Intersection: HAYES ST NE
Type of Work: EMERGENCY - REPAIR WATER MAIN
Explosives: No Tunnel/Bore: No
Right of Way: Yes Duration: 5 HOURS
Area Marked: No
Remarks Information
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MARK 100FT RADIUS OF THE ORANGE CONE CURB TO CURB WITH PAINT AND FLAGS
CREW IS ON SITE
Link To Map_LINK for CFRDLY01: http://mn.itic.occinc.com/PCAA-CRR-F25-Z7H
Facility Operators
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Code Name Phone Number
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CFRDLY01 CITY OF FRIDLEY (763) 572-3566
COMCST03 COMCAST (612) 522-8141
CTLMN01 CENTURYLINK - CTLQL (855) 742-6062
MINGA503 CENTER POINT ENERGY - MINGA50 (800) 778-9140
1