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Request Number: 8290
Public Works Division ����
Ssrvice Request
_ ....... ............... ........ ........ ............... ...... .... _... _. __ .
Problem Address: 225-69th Av�e NE Requested By: Stev�e Brurr�augh
Department: WATER A�ddress: No address provided
ProblerNlssue: 1NSl'ALLAMRMEIER PhoneNumber: ce11612-226-3854
Scheduled Date: 201407-14 Scheduled Time: 08:00:00
ACTiON NEEDED: Instap AMR
Created by: Cheryl Pe{legrin Date Created: 2014-06-30
ACTI(JN TAKEN:
Old meter#91029881 Old reading: 179 50 New meter#44921196 ERT#35159498
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Status: Gompleted Resident Contacted O
Date Compieted: 201407-14 Completed by: Ryan Johnson
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Request Number: 8290
Public Works Division
Service Request
Problem Address: 225-69th Avie NE Requested By: Steve Brumbaugh
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: cell 612-226-3854
Scheduled Date: 201407-14 Scheduled Time: 08:00:00
m Jul � r�
ACTION NEEDED: InstailAMR
Created by: Cheryl Peltegrin Date Created: 2014-06-30
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�,I��t�
� City of Frldley
_ ... __. Water Departme�t
6431 University Avenue NE
Fridfey,MN 55432
(763)572-3566
��We hereby authorize the City af Fridiey and/or its
employees to do what 1s necessary to replate the water met�r. i understand tfiat the property cwner
1s liable for the water line from the main to the premise and ati interiar piumbing. �Per Gty code
402.Ofi) I also fiold the City of Fridley andJits employees harmless for amt damages that may occur
- while doing this operation. This to include,6ut not limited to;valves,piping,wal{s,floors or ifie curb
stop box and servtce line. t understand 1 am also required to obtain a permit pNor to any work,if
necessary.
Final meter�eading(ok!sneter) 1 ����
Name• Address• �v� `"-(�
Phone Number. Date� !�����
5fgnature:
Wltness Sigeature:
FRIDL�Y CITY CQDE
CHAPTER 4UZ.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
or buifding for which the application is made,the owner or cantractor shall be required ta obtain a perrnit for sucfi
connection,and shell pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shalt be notified. It sfiafl be unlawfu)to cover any connecting line until an
inspectian 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.REppi(tS AND MAINTENANCE TO CONNECiIUN
After the initlal connecCion has been made to the water service curb stop box or the sewer lead at the praperly
line or a water service or sewer lead has been extended to the properry line for connection,the applicant,awner,
or the occupant or user of such premises shafi be liabie far aii repalrs required to any wate�line and sewer lines
necessary for connectian of the premises from the main to the premises. If the prop�cty owner requests
maintenance senrice o�repairs be performed by the Gty,the pcoperty owner shatt be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annualiy by.an administrative
policy. it shall be the responsibilifiy of the appllcant,owner,occupant or user to pe�farm standard ma9ntenance of
' the sewer service line from the premises to the main Including debris cteartng ar root cutting and to maintain the
water service curb stop box for operability and at such height as wilf ensure that it remains above the finished
grade of the land or property, (Ref 638,1156,1191)