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Meter Swap ��-� � ��5 "��1 ( �� City of Fridley Water Denartment Address ,�� cN �"�5��- � Name `�111J�.►' `1't�� Date �`�� -1'' �� Old MP}^� -- Q � , �c�l-4 c�$� �`� � a" -- � ��-�-� �� `� �-�� ,� �SO�I�z��,�� z� �1 n ��.-�,�r� ��V� � \7 l�a � ` �-�� :,�,,.��- � � . �� 4� Remarks: /��"� Signed _ '� �S'�4°Y`s'-1f 7G�ui u � �-'�3}INSTALLATlON G.�� AUTOMATIC METER READER FRIDLEY Address �� "�� Name ��(�� Date � � 1�� Old Meter Number � � �� Old Meter Reading � Replacement Na ��' �� Replacement Reading � Replacement Make � � ERT# �� Replacement ERT# Remarks �Zl�" Signed: T � , ' R�eq�� f�r;�;e� t�'�P� ' �i�y o�f �ricil�t � �_ �t-�2�a . ��rz��2 T�e: NFa�er s�e�eak �r: : �71� f��_ 8a�wfi�VCe S�f YII!a� �: �c,�n��-r r� �e�� C�r�. -Y�3 ' y 8��- 3�d�ie�d t]�e: cAwr�rr: �y•�1�t / ��r /Q,�,� � L�a��eta�: i#e�t D�a�s: �a�er�a�6�k �r � ,��3� � ??° o -��: ��t�� 1� - L��-r�-6�� iP� �� t� A�n'� , �� o � U �� . ��-��z ��1�` �� x�-c� �I�vt2 � 1 �-� �.�� o��-� 1 I--�� `��( ��czr2�( �� __�_.�____... _.—.._ ��- �__ � s �...._. . _...._._...�...__ ...._ __'�." — . ` �! 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Hiatt, Wendy From: do not reply@korterraweb.com Sent: Tuesday, November 27, 2012 11:09 AM To: gsrequest Subject: Ticket 123320855 Sent by KORTERRA WEB KORTERRA 706 CITY-LOCAL-1 123320855 Seq: 3 11/27/2012 11:08:33 Gopher State One Call Locate Request ---------------------------------------------------------------------------- Ticket Number: 123320855 Old Ticket: By: RYAN G Source: VOICE Type: EMERGENCY Date: 11/27/2012 11:05:04 AM Send To: CFRDLY@1 Sequence: 3 Company Information ---------------------------------------------------------------------------- GROTH SEWER AND WATER Type: CONTRACTOR 775 TOWER DRIVE HAMEL, MN 55340 ` Caller: LARRY GROTH Caller Phone: (612) 250-6395 Contact: LARRY GROTH Contact Phone: (612) 250-6395 Company Phone: (763) 478-6712 Company Fax: Company Email: �rothsewerandwater@g.com ' Work Information ---------------------------------------------------------------------------- State: MN Work Date: 11/28/2012 12:00:00 PM County: ANOKA Done For: GAYION POLAND Place: FRIDLEY Street: 5750 WASHINGTON ST NE Intersection: 57TH AVE Type of Work: WATER SERVICE Explosives: No � Tunnel/Bore: Yes �-� �._ .. . ,� _. Right of Way: Yes Duration: 1 DAY � Remarks ' • CREW WILL BE ON STTE 11/28/2012'�12:08:00 PM EMERGENCY REPAIR OF WATER SERVICE MARK ENTIRE FRONT HALF OF LOT TO NEAR CURB FOR WIDTH OF LOT HORIZONTAL DIRECTIONAL DRILLING WILL BE INVOLVED , Members ---------------------------------------------------------------------------- Code Name Phone Number ---------------------------------------------------------------------------- ATTLCL01 AT&T LOCAL SVCS/TRANSMISSI-TCG (903) 753-3145 CFRDLY01 CITY OF FR3DLEY 7635723566 CONfCS703 COMCAST (612) 522-8141 MINGAS@3 CENTER POINT ENERGY 1-8@0-778-914@ QLNMNI4 QWEST (800) 283-4237 XCEL08 XCEL ENERGY 6126304366 1 R��t f�r�er�r�c�: F� �yr c�f Fr�dl�:y r • � '��Ei:" ��-�fi-� ��: �� T�e� krsta�'�KMF�� 3y: �at: Wat�r +C�i�en l�a�e: ��Pa�id Ad�= �11�A�IINGTDN ST� . �if2,423-9� 'sc#�d tl�t�e '�,`�k!l�11 1�IID1'M�� up�rt}w�er: ' �:. ��ais: Fieque�t 0r.ta1[s= kda�A� � T _ �� '��c� ��.�� _ �� ec� ��-- ��6 6`'� � � �� N� �� -� �-� �— ��`��S`15 � �� '� �_ .�_ �� __��____�__.__.�_..��.____�. ___ ..� �--- � � � �.�_ �______.______.___ _--_________________________ _ .____ _�_._____.. �: — �� .. .C.� _!�__ � � .__...��_ .. . • City of Fridley Water Department 6431 University Avenue NE Fridley MN 55432 (763) 572-3561 I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I 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) I also hold the Ciiy of Fridley andfor its em�loyees 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 an:d service line. I understand I am also required to obtain a permit prior to any work, if necessary. Name: Address:� �.JU "V��ICN Phone Number: Date: l � '�3"� Signature: Witness Signature: c� � �� 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) 4Q2.05. PERMIT FEE Prior to construciing or repair of any water or sewer line connecting the existing municipal system and any house or builcling for which the application is made,the owner or contractor shall be required to obtain a � permit for such connection,aud shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been made,the Water and Sewer Depardnent shall be notified. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Ciiy as a proper aud suitable connection. ' 4D2.06. REPAIRS AND MAINTENANCE TO CONNECTION Af�er the initial connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water service or sevver lead has been extended to the praperty 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 City,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 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 iC remains above the finished grade of the land or pmperty. (Ref 638,1156, 1191) Request Number: 7422 Public Works Division Service Requesf Problem Address: 5750 Washington St Requested By: Sandi Hara Department: WATER Address: No address provided Problem/lssue: READ METER(WATER) Phone Number: Scheduled Date: Scheduled Time: . ACTION NEEDED: Final reading. C sing on 2/7/14 ERT 33303575 �� - �c� Created by: Wendy Hiatt Date Created: 201401-23 ACTION TAKEN: _....................................................................................................................................._................................................................................................................................................._...........:............._................................._..........................._................................... ...................................................:................................................................................................................................................................................................................................................_......................_....................._......._......._._._..........._.._..._..._..__._._ ��w �I� 6/ .........................................................................................................................................�................................................................................................................................................ .................................._........................_............._..............._........_............._ _..............................................................................................................................................._.............................................................._......................................................................................._............................_.........._........._........................................................ _..........................................:...................................................................................................................................................._...................................................................................__.............................._.............................._.._...._.................:.._.._..._.___.._....._.... __................................................................................................................................................................._._.............................................................................................................................................................._.._._.................____..........._.._._.____ Status: In Progress Resident Contacted O Date Completed: Completed by: .z-- �-f y � �- Hiatt, Wendy � From: � Hara, Sandra Sent: Thursday, January 23, 2014 8:57 AM To: Hiatt, Wendy Subject: Final AMR reading Hi I need a final meter reading on the AMR at 5750 Washington ST for a closing on 2/7/14. The ERT#is 33303575. Thanks. Sa�r�"�far�a City of Fridley Utility Billing 763-572-3530 1