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Request Number: 8234
Pub�c Works Division C,.4 a � O
Setvlce Reqt�est -
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Problern Address: 274 69th Ave NE Requested By: FZobert C�rrett
Departme�rt: WATER Address: No ac�ress providsd
Problemlissue: INSTAI.LAMR METER Phone Number: 763-572-8880
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Scheduled Dats: 201447-02 $aheduled Time: 08:3Q:OG
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J ACTION NEEDEd: Instan AMR
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Created by: Ju�ie Fbrak Date Created: 2014-06-24
ACTION TAKEN: � .
Old meter#34813463 OId�eading 120 20 New meter#44921108 ERT#35171559
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. Status: Complefied Resident Contacted O
Date Completed: 201407-02 Completed by: Ryan Johnson
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City of Fridley
Water Deuartment
Address`�� b��
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Name -r
Date_ L'��'� �-O�
Old Meter Number . �j�
Old Meter Reading ��� �
Replacement No._� �� �'�
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Replacement Reading � '
Replacement Make ���,�
Remarks:� M�-,�
Signed
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Request Number: 8234
Public Works Division
Service Request
Problem Address: 274 69th Ave NE Requested By: Robert Gerrett
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-572-8860
Scheduled Date: 2014 7-02 Scheduled Time: 08:30:00
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ACTION NEEDED: Install AMR
Created by: Julie Horak Date Created: 2014-06-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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` � City of Fridley
. ___ Water Department . _... .
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
i/we hereby authorize the City of Fridley 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 line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridiey andiits employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. I understand i am also required to obtain a permit pHor to any work,if
necessary.
Final meter reading(old meter) 6 �O � `'�
IVame.•T���� Address• ��� � l� �U�'
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Phone Number: ���S 7 �� Date: ` �� I l
Signature• � t
Witness Signature:
FRIDLEY CITY CODE '
CHAPTER 402.WATER,STORM 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 hous.e
or building for which the appiication is made,the owner or contrador 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 Water and 5ewer Department shall be notified. It shall be uniawrful to 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
proper and suitable connection.
402.06.REPAIRS AND MAIN'i'ENANCE TO CONNECTION
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 extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ail repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. lf the propQ�ty owner requests
maintenance service 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 repairs,at a rate set annuaily byan admin'istrative
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 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 fnished
grade of the land or property. (Ref 638,1156,1191)