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� Request Number: 9695
Public Works Division
Service Request
Problem Address: 100 Sylvan Ln Requested By: Ronald Gaznet
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-355-5076
Scheduled Date: 2p 15�l-22 �cheduled'ITime: 08:00:00
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` ACTIbN NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-01-20
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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. - City of Fridiey
- _.... iNat�r Depa��nfi -
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6431 University Avenue NE
Fridiey,MN 55432
(763�57Z-3566
��we hereby authorize the�ity of Fridley andjor it�
employees to do what is necessary ta replace the water meter, I w�derstan�l t���e p��'�Y°W�r
�s liahle fnr the water line from the main ta the premise and all interior plum6ing. (Per City code
402.Q6) 1 atso hold the City of Fridtey andjits employees harmless or any damages�nai may occur
while doing this aperadon. This tu indude,6ut nat limited ta;++alv�►piping,walls,flours ar the wrb
stop box and senrice line, 1 understand!am also reguired ta obtain a P+�rmtt Prior ta any work,if
necessary. �
flnaf ineter reading�otd meter} ` ��—J� ���
Name• Addr�s• ��� —�.J �-��
Pfione Number: te:_ �'��1?��___`__--� -
5ignature.
1Nftness Signatwe:
�RIDL�Y CITY CODE
CHAPTER 48L WATER,SfORM WATEFt,ANO�4NITARY 5EWER
ADMINtSTRATION 1`�,, �
(Ref�rd No 113,464,565,566,629,538,662,922,988,1144,1156,1191J
41)2.05.PERMIT FEE �
Prior to constructing or repafr of any water or sewer line connecting the existing municipat system and atry house
or 6uilding for which the application is made,the owner or contractor shatl be required to obtain a permft far such
connectian,and shall pay a permit fee as hall be notified.t1C shali be unlawful to ca e any�an eeti g lineeunt�l an
made,the Water and Sewer Department
lnspectiun has been made and such connectinn and the work incidertt thereta has been approved by the C'�ty as a
proper and suitable conn�ction.
402.dG.REPAIRS AND MAINTENANCE TQ COi�NECTiON
��p� --,.+�+:.+tio ��+p�«rvice curh staa bnx or the sewer lead at the prope►t'
line or a water service or sewer lead has been extended to the property line for cannechon,the applicant,owner,
or the occiipant or user of such premi�es shail be liable far all repair�required to arry water line and sewer lines '
necessary for connection of the premfses from the main to the premises. If the propg[ty owner requests
maiatenance service or repairs be perfarmed by the City,the property qwner shall be�arged for the costs of the
, maintenance andjor repairs� including any neces�ary street repairs,at a rate set annuatlyby.an adminlstraUve
policy. lt shail be the responsi6ility of the applicant,owner,accupant or user ta pe�farm standar�maintenance af
- the sewer service line from the premises to the main including debri�ciearing or root cutting and to malntain the
� water service curb stop box for operability and at such height as will ensure that it remains abave the finished
,,,. . . : . .. • .. . .. . . . . . . � --
g�ad"e of tf�e�lar�d or-�rop�rty.�(Re►S�S,-��5,.t���:� _. _ .._ .._..