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Request Number: 9668
Public Works Division
5ezvice Request
Problem Address: 6221 Rainbow Dr Requested By: Terry Nasri-owner's daughter
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-1716
Scheduled Date: 2015-01-09 � Scheduled Time: 10:00:00
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ACTION NEEDED:AMR install.Contact daughter Terry Nasti at desigiated phone#since she will be there at
residence to let crew in house.
Created by: Cheryl Pelleg�in Date Created: 2015-01-07
ACTION TAI�N:
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Status: in Progress Resident Contacted .�.
Date Completed: Completed by:
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- City of Fridley
- _. . Water Dppactment "
.._ .. _, ,..-._
6431 Un'nrersity Avenue NE
Fridiey,MN 55432
(763)572-9566
I/we hereby authorize�e tity of Fridtey and/or its
employees to do what is necessary ta replace the water meter, I understand that the proper't�►owner
is 1 fnr the wat+er line from the main to the prem�e and afl iM�rior plumbing. (Per C'iq1 code
402.06) I aisa hold the�aty of�ridley andjit�employees harrniess or any amages may o�.�-
while doing this aperadon. This to indude,6ut nat limited to;vat�es,piping,wails,floors or the curb
stap box and service line. I understand I am aisa required ta ahta�n a permit prior to any work,if
necessary. �
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� Final meter reading(old meter� o a a 6� _ � .
Name. Address: . .
Phone Number: �t��
Signature: �
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1Nitness Signature: �
FRIDLEY CITY CODE
CHppTER 40L WA'TER,STORM WA1�,�D�INiTARY SEWER
ADMINISTRATI�N ,
(Ref Ord No 113,464,565,566,629,638,662,922.9g8,1144.1156,1191)
�
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 cnntractor sha11 be required to obtain a permit for suth
connection,and shall pay a permit fee as provided in Chapte�11 of thi�Cade. After sud�connection has been
made,the VVater and Sewer Department shail be notified. It shall be unlawful to cover any�anneding Gne untii an
inspection has been made and such connection and the wark incide�rt thereto has been approved by the C�ty as a
proper and suitable connection:
402.06.REPAIRS AND MAINTENANCE TQ CONNECTION
_�___�..,,,.+:.*ho watPr se�vice a�rh staa bnx or the sewer lead at the propert�
,A�f-�b6'-IG(k�
line or a water service ar sewer lead has been extended to the propertyime for connechon,the applicant,owner,
or the occupant or u5er of such premises shall be liable for all repairs required to airy waker line and 5ewe�lines
necessary for connection of the premises from the main to the prernises. If the prop�Cty owner reque�ts
maintenance service or repairs be performed 6y the City,the property awner shall be chatged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an adminlstrative
policy. It shall be the responsi6iliry of the applicant,owner,accupant m use�to perForm�tandard matntenance of
the sewer service tine from the premises to the main inciuding debris ciearing or raot cutting and to maintain the
� water service cur6 stop box far operability and at 5uch height as wiN ensure that it remains abave the finished .
. � _ . .. . . . . � . .
:"grade of tii�lar3d orprop�rty.�1Re►630,�#�5,-t��3� __ . __.._ ...._ ._. _ ....._ _. . _._. _.... ..._..
Request Number: 9955
Public Works Division
Service Request
Problem Address: 6221 Rainbow Dr Requested By: Sandi Hara
Department: WATER Address: No address provided
ProblemiIssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled'I�me:
ACTION NEEDED:Final reading:Cl sing 4/30/15 ERT#35 9186
Created by: WendyHiatt Date Created: 2015-44-09
ACTION TAI�N:
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Status: Tn Progess Resident Contacted [�
Date Completed: Completed by:
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