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Meter Swap Request Number: 12621 Public Works Division Service Request Problem Address: 7421 Van Buren St Reqnested By: Gary Norell Department: WATER Address: No addresa provided Problem/Issue: INSTALL AMR METER Pho�Nnmber: 612-987-1553 Sched�ledDate: 201?-01-03 �� SchedAled'Ii�: 1�,:00:tN/ r ACTION NEEDED: Crented by: Wemiy Hi�t I�ke CreAted: 2016-12-29 ACIION TAI�1rT: -�--�1.3t-� � `��1�--- &atus: Ia Progress Submttter Has Beea r, Ceatacted Date Compieted: � .-. � •-�� Cempleted by: �� City of Fridley . � Water Department • 6431 University Avenue NE � Fridley,MN 55432 �}(v lj a��S�� 763-572-3566 � � �� l.� � 1/we hereby authorize the City of Fridley and/or its em oyees to do what is necessary to repface the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless fior any damages that may occur whtie doing this operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop boz and service line. In understand t am also required to obtain a permit prtor to any work,if necessary. FINAL METER READING(old meter) I �.� " � � Name: l.� �(`)Y'� �.� Addrgss � L Z� �� l�7'L�.v"1°M� '�^J�- � -- G C�lz� 87- 5�� - 2 Phone Number l � p�e � �J �� ty� � �, �i;nature ., �tness Signature OLD METER# � ` �� ` �� OLD READtNG ! �L-- .7 � �U NEW METER# � � � � �� NEW READING � E�# C� � � � �37� � � FRIDLEY CI7Y 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� d02.5 PERMIT FEE Prior to cnnstructing or repair of any water of sewer line conneding the existing municipal system and arry house or buildir�for which the application is made,the owner or coMractor shafi 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 noNfied. It shall be unlawFul to cover any connecting line until an inspection has been made and wch connection and the work indderrt thereto has been approved Rry the City as a proper and suitabie connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the inittal connection has been made to the water service curb stop box or the sewer lead at the propertY lir�e os a water service lead has been extended to the property line for wnnection,the applica�.owner,or accupant or user of such premises shaH be IiaWe for al)repairs required to any water line and sewer Ilees necessary for co�nection of the premises from the main to the premises. ff the property owner requests maintenance service or repairs be pecFormed by the City,the property owner shali be charged for the wsts of the maiMenance andJor repairs,including necessary street repairs at a rate set annually by an administrative policy. R shall be the responsibility of the applica�, ow�er,occupant or user to perform standard mairrtenance aF the sewer senrice line from the premises to the mafn including debris deartng or root cutting and to maintain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished grade of the land or property. (Ref 638,ii56,1191) �y, Request Number: 5840 Public Works Division Service Request Problem Address: 7421 Van Buren St Requested By: Gary for Dawn Johnson Department: WATER Aeddress: No address provided Problem/�Ssue: TURN WATER OWOFF(WATER) Phone Number: 612-987-1555 . .,. , ; ;, , , ,. , J ,,,_ . �, , � � e. .:.... - . ' ' . FS 1 ... ACT�N NEEDED: Turn off water#or repair. Leave key. *"""BILL*"** Created by: Wendy Hiatt Date Created: 2013-03-11 ACTION TAKEN: r---- � -�-�— � ��.�.....��t.-......�-t�.�r�...t�:...._�:_�......:...�..._�!.�.._...................................._._____........_._...................._..........__............ _....................................... ��t �._ m..� � ..... ..............................................._ _................................................................................................... `�. ..........._.................._C-��-YZ.,.._�,A�........��ZM�7.................................................................. _...........__.........................._..........�.�.........�Ct�......_UQ......._��`(..:................�...�........�.�....�..�.�.a......................................................................................._.....................�_......................._ .............................................................................................................................................................................................................................................._....................................:.............................................................._................................_................................_ _.........................................................................................................................................................................................................................................................................................................................._..,.........................._.................................._._....................._ .� Status: In Progress Hours: Date Completed: Completed by: �- ��- �� _ _. _ , ,;,.. , , ,, „ ,,,, ��.. ,,�, ;:,, �,,,, __ �_� 1 of 1 , , � �� ,, �:.. i i,,. • Service Details • Date Created 2013-03-04 Request# 5815 ��,,;,,;;. ,, V`,,,,,,,,,,,, ,,,, • Department • ProbleMlssue �� ,,, • Requested By Jeff Cameron Resident Contacted ❑ • Address 5601 6th Street • City Fridley State Z1P 55432 • Phone 612-751-7366 Needs water tumed on ASAP.Lock box on side door.Code 2431.Call when water is on. • Action Needed • Urgerrt ❑ • Owner tJame Reafter . oc tion • ProblemAddress 56016thStreet • Fridiey MN 55432 • LatlLong 45.069987 f -93.258765 . Tracking Information ,��,,,,,,�i,,, ,;_i • Stafus • Scheduled Date 2013-03-04 Scheduled Time • Bill ❑ 6illing Complste ❑ • Date Completed Hours� • Completed By Brandon O'Mara Brian Benesch Bruce Koopmeiners /� ) / / �--��' Bud Zurbey (/ • Ct�nge the Completed By list Crai Hanson • Action Taken �� • Created By ��V , , .,� i I�VIII� "i _ l��• Photos/Docs �i t ; � � d ; � S ;,� � � �, .�.� _.,i 'll -,;, ,,; _. _ �-----___.; 5752 of 5752 • Service Details • Date Created 2013-03-06 Request#(auto-assign) 5827 , ;ir�.l , ,, • Department • Problem/Issue • Requested By Shelby w/Prtodigy Realiy Resident Contacted ❑ • Address • City State ZIP� • Phone 651-770-0165 Tum water back an. Lockbox: 2012(located on screendoor) Tum water on Thursday morning ar�d call Shelby to corii'irm water is on. • Action Needed • Urgent ❑ • Owner Name . i oc f on � • Problem Address 560 KimbaN St � � � • Fridley MN � � ` � , • LaULong 45.118569 / -93.286362 , (1 . � Q �V •p�. � \ „v Tracking Information �� , ; � �� ,, , • status �� ^ • i i ompee • Action Taken ,�I ..�. , I� • Created By • Photos/Docs,.. _ ; ,;,�i��_,� „ ,;;;, _ _ _._ �_.� 5750 of 5750 • Service Details • Date Created 2013-03-05 Request#(auto-assign) 5$25 �p� .�i..��.i I;�. ,.,�.i�.,. • Department • Problem/Issue • Requested By Jim w/Signature Mechanicl Resident Contacted ❑ • Address • City State ZIP� •� Phone 651-755-2412 Turn water back on. Repairs are complete, . • Action Needed • Urgent ❑ • Owner Name . o ati n • ProblemAddress 6582 UniversityAve • Frid(ey MN � • LatlLong 45.087181 1 -9326377 . Trackinq Information f , , ,,,.,_ ., • status � • Scheduled Date 2013-03-06 Scheduled Time 07:30:� ,� / • Bill � Billing Complete ❑ / � � � �G^ l • Action Taken � � � • Created By _ • Photos/Docs ''