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Request Number: 8191
Public Works Division t��—o d...,
Service Request ��
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Probfem Address: 181 69th Ave N Requested By: Jean Reveling
Department: WATER Address: No address provided
Problemlissue: INSTALLAMR METER Phone Number: 763-571-1286
Scheduied Date: 201406-25 Scheduled Time: 10:30:00
ACTION NEEDED: Instail AMR
Created by: Julie Horak Date Created: 20140&23
ACTION TAKEN:
Oid meter#98449009 Old reading: 147 30 New meter#44922081 ERT#35191821
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Status: Completed Resident Contacted �
Date Completed: 20140&25 Completed by: Ryan Johnson
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Request Number: 8191
Public Works Division
Service Request
Problem Address: 181 69th Av�e N Requested By: Jean Reveling
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-1286
Scheduled Date: 20140&25 Scheduled Time: 10:30:00
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ACTION NEEDED: InstallAMR
Created by: Julie Horak Date Created: 201406-23
ACT10N TAKEN:
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Status: in Progress Resident Contacted ❑
Date Completed: Completed
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a City of Fridiey
• --- Water Department -- -
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��W� hereby authorize the City of Fridtey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water tine from the main to the premise and all interior plumbing. (Per City code
402.06) i aiso hold the City af Fridley and/i�empioyees harmfess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and senrice line. 1 understand 1 am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterj ���� `� ""`�'
Name• Address• I V' �/ ` � r`"�" • " ,
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Phone Number� Date:
Signature•
Witness Signat e:
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,555,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repaic of any water or sewer line connecting the existing municipa!system and any house
o�building for which the appfication is made,the owner or contractor shall be required ta obtain a permit for such
connectian,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 shall be notified. It shall be unlawful to cover any connecting fine untii 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.
402.06.REPAIRS AND MA{NTENANCE TO CONNECTfON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extendedto the propertyline for connectfon,the applicant,owner,
or the occupant or user of such premises shall be liable for atl 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 be performed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily 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 ta the main including deb�is clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilt ensure that it�emains above the finished
grarde of the land or property. (Ref 638,1156,1191)