Meter Swap C; iI�K�-����;;.,��
� � INSTALLATIO
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✓ AUTOMATIC METER READER
CINOF
FRIDLEY
Address ��/ r� �J� �
Name 1"1�Mt� ���'�
Date I 'O��`� �
Old Meter Number � 1��I �31
Old Meter Reading � ��
Replacement Na � 1��
Replacement Reading �
Repiacement Make ������
ERT# nL� I JO�dh � I
Replacement ERT#
Remarks: � ��� O ,,�,r,,�
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��� Signed: f ���•�l
Request for Service Repvrt
_ � City of Fridley
R eference N o: 601-11-2773 D ate: Ol 118111
Request Type: Install AMR meter Entered By: Wendy Hiatk
Department: Water Citizen Name: Ahmed Sayed
Address: 5846 3RD ST NE Callback Phone: 763-742-4826
Scheduled Date: 1��[I�'�;,' � Property Owner.
Location Details: �.."""` ` Requexk Dekails: Install AMR
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Action Taken:
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o� .m��� �- ��d�`�3 J
c��� 2�-�p �I�v-- a�a(�� .
��-�,M�z�- �t��g �,�5�
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Responsible Person:
Approver.
Completion Date: Citizen Notified
1-�; 6�
.
�ity of�'ridley
�Tat�;Departr�eni
5�31 U�i.versity Avenue 1�1�
Frialey�i91�T 5���2 � .
('i 6�) 572-35�1 "
� Uwe he�eby a�o-i�e th� City ot F�.dley a��Ior its .
employe�s tt> �.o �r�.a�is n���ssarv t�r�plac�ihe�vat�r mete�. T_�de�st.�nd tba#'�,.�e�'
px'o�erty ovvner is liable for i�.e wa#er liue from�e mai-o.to t��premiss a�a.d ail ini�rior
�lur�bina. (Per City code 4Q�.06) I also hold ti�e Caty of Fridley andfor ifs em�lovetis -
ha�nless ior any damaQes t�.ai�a�oc�u�-while c�ouig t�i� operaiifln. T3iis t�inciude;but
noi limite�.to; valves,P�p�� u'alls,foors or t�3e cui'� sto�box and s��iice Ji�e. I
�.de-rsrand I am aiso requ.;r�.to Dbta;a a�e�it pror�o zn.y wo�, :�'n����ary.
�ame_ _��.dress_ • �
�hc�ne i�umber: Date: ,
Si�nature: :
�Nitness SiQnature: � � ,
V
. ,�+g��� 1'ia a i N v.e-�.�`L3.1� �i9�L' ' � .
- . L37.ti��.��Y�2. 9'7�3+'•aa��J.�t33.91^7$ :'S'ti3^���Ut31'13.3s�9.'���i't YYS'it!' .
���l 11t�.L 1�1 V
(Rei Ord i�i-0 11�,4b�,5b�, �66, 62�, 635, o'b?,9�?,938, 11�, ll�a, 1191)
�d�2.fl5. �'�+3.4Ii�i y ,
P�or to cons�ictiug or repair of any wate;or sewer line connecting the e<�isting municipai system and any
house.or�uilding for whicn�t�e appi�cation is made,the own�r or co�ctor shall be re�uixe3 io obtain a
p�rmit for such connea�on, aad s3zall pa�a per.,nii fze as prayidefl n,C*aa�ier 11 of this Cade. Af�er�such �
cann��ti�an has be�.mad�,�e Water and 5ew�3�eu�-tt�e�sha11 be notife�.. I�t shall be unlawn�i��cover
any ccnue�ting tine until ar3.iusps�tion has be�n made and snch conne�tion and-�h�wor3�i�cideni t�ere#o
has been appreVed by�e Ciiy as a pro�ea-�c}saitable cn�evtion_
�d2.fl5. �.���:��g/��11'T�T�1�t�;��'� ���i1°d��'�I�1�
:�fte:fihe in�tiQt.c3nue�tion has b�en�.c1e ta�e�x�t�r service curb stop bo�or ihe s�wer lead ai i1�e
property�line�r�a�a.te.=ser�rice�r se�aer lead has b�sn z��nd.eri tfl;ha pr��,-�j,;ine fQ�cauueciiony tiie �
applican�y o�vner,or the oc�mani or a,ser�i such przmises s�all be liable for a.il repairs s eq�d to an�
,,va.ter liue and any sew�r lines�secessa-�y 2or����o�Q=, ,�premis�s from the main tQ��.he premises. If -
the praperry owner re�uesrs�ai.n#�-naace se�v?c�s or re�airs s�e perform.e�.by ihe Ciiy,t31e properiy o�ner
shall be c3�ar�ed ior+�e costs of rhe maiute�.ancs a�d/or��a�rs,inc�ucting auy�ecessar;r stre�t repaars,at a
raie set aunually by an aaminis�aiive policy. I:.shail be t3�e r�s�onsib�it�r of the anplica�� otivner, o�cupant
�r user to p�.ri�zm st�dard maint�c�a'r'ihe sewez servic.�1_3F.B fLflffi 1�1�Piz�ll.SSS t0 1�.E 1L�8]Y3 ID.Ci11C�IIt�
de�rs ciwa.�ng or mot c�.tii�g a�.d io maiaia�n.t�e wat�r s�rvic� curb stop b�x i�r o�erahiliiw and at sucn
he`�nz as will ensrrre ihat iC remai�s abave�e frnis�ea graaa oi�e laad or pro��rty. �ei 63�, I 1��, I1�?)
�
� � Request Number: 11496
Public Works Division
Service Request
Problem Address: 5846 3rd St Requested By: Erin w/KAB Plumbing
Department: WATER Address: No address provided
Probiem/Issue: 1TJRN WATER ON/OFF Phone Number: 763-219-3599
5cheduled Date: 2016-OS-27 Scheduled Time: 07:00:00
� ��� �
ACTION NEEDED:Home had a fire and the water had never been shut off.After reconstruction the plwnber said the
water comes out black even after running for 1/2 hour.'Ihinks something may be lodged in the standpipe.Wants water
tutned off and then back on again.***BILL****
.c �'o�— �'!�°s�h c'� �
Created by: Wendy Hiatt Date Created: 2016-OS-24
ACTION TAKEN:
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Status: In Progress Resident Contacted I�
Date Completed: Completed by:
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