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Request Number: 9877
Public Works Division
Service Request
Problem Address: 6210 Rainbow Drive NE Requested By: Sandi Hara for Anthony Martineau-
Homeowner
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-6767
Scheduled Date: 2015-03-24 Scheduled Time: 11:00:00
ACT'ION NEEDED:AMR Install for non-responder list
Created by: Cheryl Pellegrin Date Created: 2015-03-19
ACTION TAI�N:
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Status: In Progress Resident Contacted r
Date Completed: Completed by:
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- City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
I/we hereby authorize the City af Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
it liablP 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 harmiess for a�amages t�fiat may occur
while doing this operation. This to include,but not limited to;vafves�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. � � �-� ���
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Final meter reading(old meter) � `r
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Name: Address:____,�____ —
Phone Number: Date: � ��L�'
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Signature: ��� �
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Witness5ignature: ''� L
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
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 shali 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 shali 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.d6.REPAIRS AND MAINTENANCE TO CONNECTION
�f#�t�p�ipitia(_connettinnhas.heen rnad te o the water service curb stop box or the sewer lead at the propert
line or a water service or sewer lead has been extended to the properry 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 prope[ty owner requests
maintenance service or repairs 6e 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 curh stop box for operability and at such height as will ensure that it remains above the finished
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