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Request Number: 8274
� Pubitc Works Division .
� Servke R�e:quest _
Problem A�ddress: 246 69th PI Requsstad By: Meh+ln Kuehni �
Department: WATER Address: No addrass provicEed
j Problemllssue: INSTALLAMR METER Phane Number: 572-8440
, Scheduted Date: 201407-01 Scheduled Time: 09:00:00
� ACTIpN NEEDED:2014 AMR �
Created by: Wendy Hiatt Date Created: 201406-27
ACTION TAKEN:
Old meter#18418165 Old reading:91 0 New mefier#44921218 ERT#35172081
3tatus: CompEeted Re:ldent Cor�tacted �
Date Go�letad: 2014-p7-01 Completed by: Ryan Jphnson
Hou�s
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Request Number: 8274
Public Works Division
Service Request
Problem Address: 246 69ih PI Requested By: Melvin Kuefini
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 572-8440
Scheduled Date: 2014-07-01 Scheduled Time: 09:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-27
ACTION TAKEN:
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Status: In Progress Resident Contacted 0
Date Completed: Comple y:
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_ - City af FNdley _
... __. Water Department . _.. .
6431 UniversFry Avenue NE-
FridleY,MN 55432
(763)572-3566
IJwe hereby author�ze the City af Fridiey andJor its
employees to do what is necessary to replace the water meter. I understand that d�e propertY owner
is fiab{e for the water line from the main te the premise and aN interior plumWng. (Per C'ity cflde
40Z.06) I a15o hold the .�"ity of Fridley and/i�employees fiarmless for any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,pipin�,walls,floors or the curb
stop box and service line. 1 understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(oid meter) � I ���O
Name• Address• ��� ����� .
Phone Number. Date• �/�/�
Signature•
Witness Signature•
rFRIDLEY CITY CODE
CH R 402.WATER,STORM WATER,AND SANITARY SEWER .
ADMINISTRATION
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1556,1191)
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 applicatian is made,the owner or contractor shall be required to obtain a perrnit for such
connection,and shail pay a permit fee as pruvided in Chapter 11 of this Code. After 5uch connection has been
�.. made,the Water and Sewer Department shall be notified. It shall be unlawful 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 cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial con�ection has been made to the water service curb stap 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 appticant,awner,
or the occupant or user of such premises shall be liabie far all repalrs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the�ty,the property awner shall be cha�ged for the costs of the
maintenance and/or�epairs, including any neces5ary street repairs,at a rate set annually by.an administrative
policy, it shall be the responsi6ility of the applicant,awner,occupant or user to perform�tandard mainte�ance of
• the sewer service line from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wfll ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191)