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Request Number: 8506
Public Works Division
Service Request
Problem Address: 226-69th A`NE Requested By: Brian Snyder
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR MEZER Phone Number: ce11763-567-3723
Scheduled Date: 2014-08-12 Scheduled'I3me: 02:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-17
ACTION TAI�N:
Old meter#20682249 Old reading 67 20 New meter#44921390 ERT#35171605
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Status: Completed Resident Contacted I""
Date Completed: 2014-08-12 Completed by: Ryan]ohnson
Hours �
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Request Number: 8506
Public Works Division
Service Request
Probiem Address: 226-69th Ave NE Requested By: Brian Snyder
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: ce11763-567-3723
Sche�ll.Date: 2014-0 2 `� Scheduled Time: 02:00:00
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ACTION NEED D:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-17
ACTION TAI�N:
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5tatus: Tn Progress Resident Contacted �
Date Completed: Compl ted by:
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- - -- City of Fridley
. _. Water Department _ _. ._
6431 University Avenue NE-
Fridley,MN 55432
(763)572-3566
(�INL � herehv aathnrize the�tv ef F lev�/01'jt5
employees ta do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the maln to the prernise and all inte�iar plumbing. (Per t�ty code
402.06� I also hold the City of Fridley andJi�employees hannless for arry damages that may acur
while doing this operabion. This to include,6ut not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any wa�k,if
necessary. �
Final meter reading(old meter) �-C� ���
Name• Address• ���� � l� F"' �
� Phorte Number: Date: ��`�� `�
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Signature• ' - �
1N(tness Signature:
PRIDIEY fITY CODE
402.WATER,STWtM WATER,AND SANITARY SEWER
ADMINISTRATION
(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 appiication is made,the owner or contrador shall be required ta obtain a permit for such
connectlon,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 unlawfvl to cover any connecting Ifne until an
inspection has been made and such connection and the work lncident the�eto has been approved by the Cty as a
proper and suitabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECi70N
ARer the initlal connection has 6een made to the water service a�b stop box or the sewer lead 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 shali be liable for all repairs required to any water line and sewer lines
necessary for connection o#the premises from the main to ihe premises. If the prop�cty owner requests
maintenance service or repairs be performed by the City,the property uwner shali be d�a�ged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
poliry. It shall be the responsibility of the applicant,owner,occupant or user to perForm standa�d maintenance of
� the sewer service Ilne from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
� grade of the land or property. (Ref 638,1156,1191)