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Meter Swap '= �:�-��( I�%rS z�S-�(�-i�t�'� INSTALLATION U.n,� AUTOMATIC METER READER �n��r Address ��` ��L. Name �_T�'�Gt�-( Date_�� -1� Old Meter Number �, � � O!d Meter Reading y ' y Replacement Na � � Replacement Reading tU Replacement Make r �� ERT# ��`�,��S Replacement ERT# Remarks: �(� Signed: fl F��t�# f�r�r� R� � ' �y a�f F - . �ief��a: �t-12-5�2 [la�e: 1�20�2 �TirR�= F`aral a�ter�ry �►. W�r�y �t: Wat� {�i�aen t+�e� /lelcia��: #36r�71'H PL.� fi.-��#P�an�: i?�_ t3�er: �Oca�a fle�a�; {�gwes�12dZOf1� �0ie�s: Sca�/liN�ior��g �2T#�#�4�'i Tai�t= �Z..�,! 3 l _ � � �,��: � - __��_�__ _ . , �� .._________�__ � - �� r� _ � � j� `�'°�°� Fiiatt, Wendy From: Christiansen, Tammy Marie Sent: Wednesday, December 26, 2012 8:17 AM To: Hiatt, Wendy Subject: Final meter reading please Good Morning Sunshine, can you please send the guys to do a final reading at 435 57th Place, ERT #33144885. Closed 12/20/12 Thank you have a great day Tammy Tammy Christiansen City of Fridley Acctg/Data Processing Clerk/eashier 763-572-3528 1 ��qt��t f+�r�er�ric�e Rep�r# � � Cifiy Qf Fntiley ��rva: so�->>-�7 0��: �z��r�i� Request T�rpe: kzstaN /WR��r Emered 8y: Werxfy�at# [�artment: Water Gtizen N�ne: Nlyp?�uucsnt Addreu� 435 SFfH Rl NE Ca�adc Phone: �12-�-1fi28 Sc��eduled D�e: 1�I7lZDl l 11�tID AM �� • Pmperty(3wner: l.c�ca#icxn Det�a�ss: R� Ueta�s: kiataN'/1MR , �1Cticx�T�: ; a (��L -�� i � � � � ; ��5 i ; oc.��1�rE..�- -- �� c�� _ ;� �i�� 7�� ; � � ` � ; nr� --r�� .� — ��5`� �`�� , �� ` f��J �� — ��I �( �`��.5 ! � � i � Re�ans�te Persan: �� _ � --��t...� _ __ __ . _. _ _- . . : 3 Approv�: __ __ _ __ _ _ . . Ga�I��e: ��+z�N+�tfiecl 1 �-�- �� City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 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 City of Fridley and/its employees 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 and service line. I understand 1 am also required to obtain a permit prior to any work,if necessary. , ' 1 meter readin old mete� � � � �I �`�' � Fina g( ) Name: Address• -l�� /�� Phone Number: Date: ��—1\ Signature: Witness Signature: � 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) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or contractor shall 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 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 City as a proper and suitable connection. 402.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended to the property 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 sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance service 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 it remains above the finished grade of the land or property. (Ref 638,1156,1191) , � Request Number: 11162 Public Works Division Service Request Problem Address: 435 57th Pl Requested By: Department: WATER Address: No address provided Problem/Issue: WATER MAIN BREAK Phone Number: Scheduled Date: Scheduled Time: ACTION NEEDED:Water Main Break.Gopher ticket#160340242 Created by: Wendy Hiatt Date Created: 2016-02-03 ACTION TAKEN: I C +� / ........................................ ...�.1....�...ic�.��1.................v.1..rf,�.�.................�._t.�......................._�.�_:5..._~:...........:..5.�_7...........,�`_.�........................__...................._.._......................:...__ .............................. ...�..�6.. .�.+.....(.�....�.._P.r.\�..`.�._:.......................�....�..............�.v�...."..i..i................._L......�:tF..._.�.....L......_...............�✓C/��.�.......4�.._'.....1......._..........v�...................._.�..... , ....................:..................�_�.:..._C�r�..;/�..�zil.....................A�t.°.C.."::1.................��l�l..............._...�.�........`_��•••-.-�....___...........__..._...........................................__.____.............................___. T ... ... ........................................................................................................................................................................................................................................................._....................._.............._............................_..........................._.._:.:.........._............._.�.._ ............................................................................................................................................................................................................................................................................................................................................................._....._........_._.............__._.. ................................................................................................................................:..................................................................................................................:..............................................................................................................._......._._...............__. Status: In Progress Resident Contacted ❑ Date Completed: Completed by: Hiatt, Wen�fy , From: do not_reply_mn@korweb.com Sent: Wednesday, February 03, 2016 9:58 AM To: gsrequest Subject: Ticket 160340242 Sent by GSOC One Call KORTERRA JOB CI'TY-LOCAL-1 160340242 Seq: 2 02/03/2016 09:57:53 Gopher State One Call Locate Request ---------------------------------------------------------------------------- NEW Ticket Number: 160340242 Old Ticket: By: mnmanica Source: VOICE Type: EMERGENCY Date: 02/03/2016 9:57 AM Send To: CFRDLY01 Sequence: 2 Company Information ---------------------------------------------------------------------------- CITY OF FRIDLEY Type: FACILITY OPERATOR 6431 UNIVERSITY AVE FRIDLEY, MN 55432 Caller: PETER DUNDERSON Caller Phone: (763) 572-3566 Contact: PETER DUNDERSON Contact Phone: (763) 238-8064 Company Phone: Company Fax: Company Email: KOTTSICKG(a)CI.FRIDLEY.MN.US Work Information ---------------------------------------------------------------------------- State: MN Work Date: 02/03/2016 12:00 PM County: ANOKA Done For: CITY OF FRIDLEY Place: FRIDLEY Street: 435 57TH PL NE Intersection: 7TH ST NE Type of Work: EMERGENCY - REPAIR WATER MAIN Explosives: No Tunnel/Bore: No Right of Way: Yes Duration: 4-6 HOURS Area Marked: No Remarks Information ---------------------------------------------------------------------------- MARK 50FT RADIUS OF THE ORANGE CONES IN FRONT OF THE ADDRESS ABOVE CREW WILL BE ON SITE AT 12:00PM Link To Map_LINK for CFRDLY01: http://mn.itic.occinc.com/YVFZ-A4R-CM2-RA8 Facility Operators ---------------------------------------------------------------------------- Code Name Phone Number , ---------------------------------------------------------------------------- ATTLCL01 AT&T LOCAL SVCS/TRANSMISSI-TCG (608) 850-9280 CFRDLY01 CITY OF FRIDLEY (763) 572-3566 COMCST03 COMCAST (612) 522-8141 CTLMN01 CENTURYLINK - CTLQL (855) 742-6062 1