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Request Number: 8257
Public Works Division �ac�'- C�
Service Request
Problem Address: 218 69ih PI Requested By: Lorne Olson
Department: WATER A�ddress: No address p�ovided
ProblerNlssue: INSTALLAMR METER Phone Number: 572-2121
Scheduled Date: 201407-09 Scheduled Time: 07:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-26
ACTION TAKEN:
Old meter#17233044 Old reading: 141 50 New meter#44921914 ERT#35159581 �
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Status: Completed Resident Contacted ❑
Date Completed: 201407-09 Completed by: Ryan Johnson
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Request Number: 8257
Public Works Division
Service Request
Problem A�ddress: 218 69th PI Requested By: Lorne Olson
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 572-2121
Scheduled Date• 201407-09 --� Scheduled Time: 07:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-26
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp ed b .
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- City of Fridley _
� --- Water Department . �.. .
6st31 University Avenue NE
Fridley,MN 55432
i763)572-3566
IJwe hereby autfiorize tfie City of Fridiey and/or its
employees to do wfiat is necessary to repface the water meter. 1 understand that the properly owner
is{iable for the water line from the main to the premise and aU interior plumbing. (Per City code
402.06} i also hold the City of Fridiey andJits employees harmtess for any damages that may occur
while doing this operation. Th1s to include,but not liroited to;valves,piping,walls,flaors or the curb
stop box and service line. f understand t am also requtred to obtain a permit prior to any work,if
s�ecessary.
Final meter readin oid meter �� ` `�' ��
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Name• Address:_.G! � � ,
Phone Number: �e'
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Si ature: ��`�'"� �`
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Wftness Signature•
FRIDLEY pTY CaDE
CHAPTER 402.WATER,STORM WATER,AND SAAII7'ARY SEWER
ADMINISTRATiON
(Ref Ord No 113,464,565,566,624,638,6b2,922,988, 1144,1156,1141)
402.05.PERMIT FEE
Prior to canstructing or repair af any water ar sewer line connecting the existing municipaf system and any hous.e
or building for which the application is made,the owner or contractor shalf be required to ohtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Cade. Afte�such connectiun has been
made,the Water and Sewer Department shall be notified. It shal{be unlawfuf to cover any connecting fine untit an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
praper and suitable connection.
44Z.�.REPAIRS AND MAINTENANCE'f0 CONNECftON
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 exteaded to the property li�e for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repai�s required to any water line and sewer lines
necessary for connectlon of the premises frum the main to the premises. If the prop�cty owner requests
maintenance service or repairs be performed by the City,the property owr►er shatl be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuat{y by an administrative
policy. It shall be the respo�►sibility of the applicant,owner,occupant or user to petFarm standard maintenance of
• the sewer service line frorn the premises to the main including de�ris c{earing or root cutting and to maintain the
water service curb stop box far operabi{ity and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)