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Request Number: 8276
Public Works Division � 1 $�
Service Request
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P'roblem Address: 234-69th Ave Requested By: Lonnie LeClair
Department: WATER Address: No add�ess provided
Problemllssue: INSTALLAMR METER Phone Number: H-763-572-1471 C-612-839-6707
Scheduled Date: 201407-08 Scheduled Time: 11:00:00
ACTION NEEDED: Instan AMR Owner asks that you call home ph#first.
Created by: Cheryl Pellegrin Date Created: 201406-27
ACTION TAKEN:
Old meter#15450283 Old reading: 681 20 New meter#44921910 ERT#35159560
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Status: Completed Resident Contacted ❑
Date Completed: 201407-08 Completed by: Ryan Johnson
Hours
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Request Number: 8276
Public Works Division
Service Request
Problem A�ddress: 234-69th Av+e Requested By: Lonnie LeClair
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR MEIER Phone Number: 1+763-572-1471 C-612-839-6707
Scheduled Date: 201407-08 .,�,rS�heduled Time: 11:00:00
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ACTION NEEDED: Install AMR Owner asks that you call home ph#first.
Created by: Cheryl Peilegrin Date Created: 20140f'r27
ACTIdN TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp d '
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. City of Fridley - ,
. Water Department
6431 University Avenue NE
Fridley MN 55432
� (763) 572-3561
Uwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to shut offthe water at the curb stop box. I understand
that the property own.er is liable for the water line from the main to the premise. (Per
City code 402:0� I also hold the City of Friclley and/or its employees harmless for any
damages that may occur while doing this operation. This to include,but not limited to,
sod, yard,landscaping,trees, s,hrubs,driveways, sidewalks or the curb stop box and
service line. i un.derstand I am also required to obtain.a pemut prior to any work.
Name:
Address: � � lt��VC�
�� �7 �
r:
��f�L�� Date: �
Signature: � \
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANTTARY SEWER
ADMI1vISTRATION
(RefOrdNo 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repa�of any water or sewer line connecting the existing municipal system avd any
house or building for wluch the applicaiaion is made,the owner or contractor shall be required to obtain a
penmit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. A1�er such
connection has been made,the Water and S�wer Department shall be notified. It shall be unlawfiil to caver
any conneeting line until an inspection has been made and such eonnection and the work incident thereto
has been aggroved by the City as a proper and s�itable connectio�
402.06. REPAIRS AND MAINT�NANCE TO CONNECTION
After the initial connection has been made to the water service c�b stop box or the sewer lead at the
properly line or a water service or sewer lead has been extended to the properry line for cannection,the
applicant,owner,or the occupant or user of such premises shall be]iabie for all repairs required to any
water line and any sewer lines necessary for cannection of the premises from the main.to the premises. If
the property owner requests maintenance services or repairs be performed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,including any necessary street repa4rs,at a
rate set amivally by an.a �n��tive policy. It shall be the responsbility of t�e applic�t,own�r,occupant
or user to perform standard maintenance of the sewer service line�ram the premises to the main including
debris clearing ar root cutting and to maintain the water service curb stop bog for aperab�7ity snd at such
height as will ensute tt�at it remains above the finished grade of the land or properiy: (Ref 638,1156,1191j