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- Request Number: 11507
Public Works Division
Service Request
Problem Address: 6961 Hickory Pl Requested By: Geraldine Kluender
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 618-567-8635
Scheduled Date: 2016-06-01 sT Scheduled Time: 10:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-OS-31
ACTION TAI�N:
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Status: InProgess Resident Contacted C
Date Completed: Compieted by:
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1
- City of Frid{ey
- ... . :..... Wa#Pr Department .
6431 Uni�ersity Avenue NE �
Fridley,MN 55432 —
(763)5TZ-3566
�/we hereby authorize d���1i��d1ey and/or i�s
emptoye+es to do w6at'is necessary ta reptace the watar meter,I understand that the property owner �
�lia�le#Qr the water tine from the main to the prernise and a�m��iur plam6ing. (Per i�ty cade
402,Q�) I.alsu hold the Crty of Fridley andrt�employees harmle�sfor any damages tnai may occur
while doing this ap+eratian. fiis to indude,but not limited to;+r��+�►P�ping,watis,ffoars or the cnrb
stap bux and servic�e Hne. t vnders#and 1 am also repuired to��P��rt P�¢��'anY work�if
necessary.
Final meter reading(old rneter) 't� �`� �
d,�_ _ � � � (�f� }�-��.. tz �
���� � Name• Address• � �' Y � .
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�t /3'1� �`I���ej' ��, Phone Number: Date:�_
N,�- !�5 --"�_
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��` � IC���T7�I` 5ignaivres � � 7 ?'�
Witness 5ignature� ' ��
FRIDLEY GfiY CUDE
CHa,PTER�2.WATElt,STORM WATER,AtdD SANITARY SEWER
ADMINISTRATIBN
(Ref Ord No 113�464,5b5;566,6Z9,638,562,922,988,1144,1156,1191)
40Z.05.PERMIT fEE �
Prior to constructing or repair nf any water ar sewer line connectingthe existing municipal system and any house
ar building for which the applicatinn is made,the awner or co[�tcactut shatl be required ta uhtain a petmf�for such
cunr�ecdan,and shatl pay a permit fee as pravided in Chapter 11 of this tbde. After such connection has been
made,the 1Nater and Sewer Department shall be natified. It shall he untawFul to caver any connecting Gne ur�til an
lnspection has been made and such connecCion and the work incid�►t theseto has heen approved by the Cfty as a
proper and s��ta61e connectian.
402.06.REPAIRS AND MAINTENANCE TO C�NNE+CT113N
n����� . ,__�____...,,.+.,+h water service curbstap hnx ar the sewrer lead at the propett'
line ar a water service Qr sewer lead has been extended to the prapertyline for cannechon,the epRli�nt,awner,
ar the accupant or user of such premises shail be tiabfe for ali repa�required ta arry water line and sewer(ine�
necessary for connection of the premPses from the maln ta the premises, tf the propect}r ovuner reque�s
maintenance service�r repairs be performed by the City,the property owner shall be charged for the c�sts of the
. maintenance and/or repairs, inciuding any necessary street repai�s,at a rate set annuaityby.an administrative
pot9cy. It shall be the responsi6it'�tY nf the aPP��car+t,owner,a�cup�ntor user ta perfomt�tandard main#enance of
- the sewer service line from the premises ta the main including dehris ciearing ar raat cutting and tu main�ain the
water$ervice cur6 stop box for operability and afi such height as w�11 ensure fihat it remalns abnve the finished .
_ . . . . _ . .--
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