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Request Number: 6875
Public Works Division
� Service Request
Problem Address: 6731 quincy Requested By: Tom Johnson
Department: WATER Address: 6731 Quincy
Problemlissue: INSTALLAMR METER Phone Number: 763-5749738
Scheduled Date: 2013-09-06 Scheduled Time: 07:30:00
ACTION NEEDED: InstaAAMR
Created by: Jean Michaels Date Created: 2013-09-03
ACTION TAKEN: �
Old meter#93802496 Old readin 95 70 New meter#44922394 ERT#35159388 �
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Status: Completed Resident Contacted O
Date Completed: 2013-09-06 Completed by: Pete Gunderson
Hours
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Request Number: 6875
Public Works Division
Service Request
ProblemAddress: 6731 quincy Requested By: TomJohnson
Department: WATER Address: 6731 Quincy
Problemlissue: INSTALLAMR METER(WATER) Phone Number: 763-5749738
Scheduled Date: 2013-09-06 Schedu(ed Time: 07:30:00
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ACTION NEEDED: Install AMR
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Created by: Jean Michaels Date Created: 2013-09-03
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-35fi6
��We hereby authorize the City of Fr�dley and/ur its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and ail interior plumbing. (Per City►tade
402.06) i also hold the City of Fridley and/its employees harmfess for any damages that may accur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to a6tain a permit prior ta any work,if
necessary.
Final meter reading(oid meter) ' �•J`../ � l
Name• Address: �'�� /,1 �`��f3�-�
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Phone Number. Date: —
Signature• �
Witness Signature: °
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINtSTRATIQN
(Ref Ord No 113,464,565,566,629,63$,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to const�ucting 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 shall 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 1Natec and Sewer Department shall be notified. It shail be uniawful to cover any conne�ting line until an
inspettion has 6een made and such connection and the work incident thereto has been approved by the City as a
propec and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TCl CONNECTION
After the initial connection has been made to the water service curb stop box or the seweriead at the property #
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ail�epairs required to any water line and sewer lines
necessary tar connection of the premises from the main to the premises. if the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually byan administrative
poticy. It shall be the responsibility of the applicant,owner,occupant or user to perforrn standard maintenance af
- 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 operabiiity and at such height as wi!!ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)
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