Meter Swap � i /
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Fridley
Request Number: 17784
Public works Division
Scrvke Request
Problem Addreas: 5810-5812 4th St Requested By: Kenneth Jordsn
Departme�: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-810-6322
Scheduled Date: 2018-02-26 Schednled Tl�e: 08:00:00
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ACTION NEEDED:lnstall AMR.M�hr i�t lo�irt 9�t�4di St
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Crented by: Wendy Hiatt Date Created: 2018-02-16
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AC'IION TAI�N: — .
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Status: In Progress Submitter Has Been r�
Contacted
Date Completed: �, �` i� Com�eted by: r �
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� City of Fridtey
, Water Department rl,�L'—,�D�v 3
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6431 University Avenue NE �)
Fridley,MN 55432
763-572-3566
' Ijwe hereby authorize the City of Fridley andJor 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
piumbing. (Per City code 402.06) 1 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,pipi�g,watis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) vv�i�C �-9 �� ��a �[T"�S'� ��r�K�.. �
Name: �1'l Vl Q•C"�1, �U��GLY\, Address J ZJ`2 (/� ��l
Phone Numb �`Z r ��V �3 a� Date � J �� '! L U ._
�j,Signature Witness Signature
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OLD METER#__ � lv L � U� �'` SIZE & STYLE(Circie)
OLD READING � 4�a ��� 5/8 H
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NEW METER# V v 6 � � � / � 1" HEX
NEW READING O 1'r4" ELIPTICAL or HEX
ERT# �'V� ' v � ` I 2" ELIPTICAL or HEX
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)
402.5 PERMIT FEE
Prior to construding or repai�of any water of sewer line connecting the existing municipal system a�d any house or building for which the
application is made,the owner or cantractor shall be required to obtain a permit for such connection,and shali 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 uniawful 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 suitab�e connection.
� 402.06 REPAIRS AND MAIPITENANCE TO CONNECTIOW
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 senrice lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line and sewer lines necessary foc connection of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 clea�ing 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: 8631
Public Works Division
Service Request
Problem Address: 5810-5812 4th St Requested By: Kenneth Jordan
Department: WATER Address: No address provided
Problem/Lcsue: OTHER Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Water in basement
Created by: Wendy Hiatt Date Created: 2014-07-29
ACTION TAI�N:
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Status: 1n Progress Resident Contacted �1
Date Completed: Completed by:
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Request Number: 8618
Public Works Division
Service Request
Problem Address: 5810-5812 4th St Requested By: Kenneth Jordan
Department: SEWER Address: No address provided
Problem/Issue: 5EWER BACKUP Phone Number: 612-810-b322
Scheduled Date: Scheduled Time:
ACTTON NEEDED:Side by has sewer gas odor and also a slight back up on the 5812 side of home.Please check City
Main and call homeowner.Also,if you need to get into house you can lmock on the door of the 5812 side and ask for
Giovanni.
Created by: Wendy Hiatt Date Created: 2014-07-28
ACTION TAKEN:
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Status: In Progress Resident Contacted
Date Completed: Completed by:
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