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Request Number: 7266
Public Works Division
Service Request
Problem Address: 6341 Jefferson St Requested By: Nick Nelson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 612-296-7443
Scheduled Date: 2013-12-03 Scheduled Time: 07:30:00
ACTION NEEDED: 2012 AMR List Install AMR
Created by: Wendy Hiatt Date Created: 2013-11-27
ACTION TAKEN:
Old meter#28387509 Old reading: 56 30 New meter#44921637 ERT#35171746
Status: Completed Resident Contacted ❑
Date Completed: 2013-12-03 Completed by: Pete Gunderson
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Request Number: 7266
Public Works Division
Service Request
Problem Address: 6341 Jefferson St Requested By: Nick Nelson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 612-296-7443
Scheduled Date: 2013-12-03 Scheduled Time: 07:30:00
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ACTION NEEDED: 2012 AMR List Install AMR
Created by: Wendy Hiatt Date Created: 2013-11-27
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Nick Nelson 612-296-7443 AMR install for Nonresponder list!l
Location: 6341 Jefferson St NE
Start: Tue 12/3/2013 7:30 AM
End: Tue 12/3/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
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_ City of Fridley
Water Department
-- ___.
6431 University Avenue NE
Fridley�MN 55432
(763)572-35fi6
I/we hereby authorize th i u a°�nd th t the pr perty owner
employees to do what is necessary to replace the water meter. per Crty wde
is liable for the water line from the main t�enP�'o ees harm�ess fo rany damages that may occur
402.06) I also hold the City of Fridley andJi p Y
while doing this operation. This to include,but not limited to;valves,p�pm���o'r to any work if� �
stop box and service line. I understand I am also required to obtain a pe p
necessary.
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Final meter reading(old meter) �
�yl ��:-��e.� �
Name� Address:
Phone Number.
.� date• � �'—� ` ��
Signature:
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Witness Signature:
� FRIDLEY CITY COQE
CHAPTER 402•WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIdN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191} _
. 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 contractor shail be required to abtain a permit for such
connection,and shall pay a permit fee as Phall be not fed.tlt shall be unlawful to cover anyco�n ict�B���euntil an
made,the tNater and Sewer Department s roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitabie connedion.
402.D6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water se he oe SrtVline forrconnec ani the appl cantpowner,
4ine or a water service or sewer lead has been extended to t p p
or the occupant or user of such premises shall be liable for all repairs required to any wate��ner reduests r��nes
necessary for connection of the premises fram the main to the premise�s�ne 5ha11 be harged for he costs of the
maintenance service or repairs be performed by the City,the property an administrative
maintenance and/or repairs, including any ne''ec�sn��Wn�t occupant or ser to p rfo m st�dard maintenance af
policy. It shall be the responsibility of the app'
• ti�e sewer service line from the premises to th�main incle d�n ad����nsure hat t emains above the fin shed he
water service curb stop box for operability and at such h g
grade of the land or property. (Ref 638,1156,1191}