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Req u est N u m ber: 8270
Public Works Division
Service Request
Problem Address: 191 -69th Av�e NE Requested By: Watter Tracryk
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: home only-763-5741182
Scheduled Date: 201407-07 Scheduled Time: 11:00:00
ACTION NEEDED:AMR install �
Created by: Cheryl Peliegrin Date Created: 201406-27
ACTION TAKEN:
Old meter#69487220 Old reading. 319 30 New meter#44922078 ERT#35171542
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Status: Completed Resident Contacted ❑
Date Completed: 201407-07 Completed by: Ryan Johnson
Hours
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Request Number: 8270
Public Works Division
Service Request
Problem Address: 191 -69th Ave NE Requested By: Walber Traczyk
Department: WATER Address: No address provided
ProbleMlssue: INSTALLAMR METER Phone Number: home only-763-574-1182
Scheduled Date: 2014-07-07 Scheduled Time: 11:00:00
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ACTION NEEDED: AMR install
Created by: Cheryl Pellegrin Date Created: 201406-27
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp d by:
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_ - City of Fridiey _
• -- Water Department �. -�. -
6431 University Avenue NE
Fridiey.MN 55432
(763)572-3566
y�We hereby autharize the C�ty of Frid{ey and/or its
employees to do what is necessary to replace the water meter. f undeMand that the property owner
1s liable for the water line from the main to the premise and all interior plumbing. (Per City caie
402.06) I aiso hold the Gty of F�idley and/its employees harmless for any damages that may occur
while da�g this operatio�. This to include,6ut not limited to;valves,p�ping,walls,floors or d�e curb
stop box and servlce tine. i undershand I am alsa required to obta�n a permit prior to any work,if
necessary.
Final mete�reading(old meter) � � �� � �
Name• Address•,. L�� �Q t� v-�� ,
Phone Number. Date• ���'
Stgnature•
Witness Sigmatwe:
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' FRIDLEY CTiY CODE
CHAPTE 402.WATER,STORM WATER,AND SANI7ARY SEWER
ADMINISTRA'fION
(Ref Qrd No 113,46A�,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERM{T FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shatf 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 1Nater and Sewer Department shall be notified. It shall be unlawful ta cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitable connection.
402,06,REPAIRS AND MAINTENANCE TO CONNEC710N
After the in'�tiat wnnection fias been made to the water service curb stop box or the sewer tead at the property
line ar a water senrite or sewer lead has been extended to the pruperty tine for connection,the appficant,ovuner,
or the occupant or user of such premises shaif be fiabie for ai{repairs required to any water line and sewer fines
necessary for connection of the premises from the main to the premises. if the prop�tty owner�uests
maintenance service or repairs be performed by the�ty,the property awner shai{be cha�ged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a raCe set annually by an administrative
palicy. It shail 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 debris clearing or root cutting and to maintain the
water service curb stup box for aperability and at such height as will ensure that it remains above the finished
grade of the{and ar Qroperty. (Ref 638,1156,1141)