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Request Number: 8370
Public Works Division
Service Request
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Problem Address: 240 Rice Creek Bivd Requested By: Richard Schillinger
Department: WATER Address: No address provided
Problemllssue: 1NSTALLAMR METER Phone Number: 574-1240
Scheduled Date: 201407-08 Scheduled Time: 01:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-08
ACTION TAKEN:
"Old meter#40413482 Old reading: 040 10 New meter: �br-�D�ERT#35159575
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Status: Corr�pleted Resident Contacted 0
Date Completed: 201407-08 Completed by: Ryan Johnson
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City of Fridley
Water Department
Address p� � �,C�. C j�Gt u ����
Name F..UG`t�i,�-+�Y ��� i I�K�ep"
Date_ � � ��"` �v
Old Meter Number � d� �L .
Old Meter Reading �� � � ��
Replacement No. �0 �
Replacement Reading )"
Replacement Make��.��e,r
Remarks: ��� �-�-Q/�
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Request Number: 8370
Public Works Division
Service Request
Problem Address: 240 Rice Creek BMd Requested By: Richard Schillinger
Department: WATER Address: No address provided
Problemlissue: INSTALLAMR METER Phone Number: 574-1240
� Scheduled Date: 201 -07-08 Scheduled Time: 01:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-08
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed
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- C'ity of Fridiey _
... __. Water Department . . .. _... - ,
6431 University Avenue NE-
F�idley,MN 55432
(763]572-3566
i/we hereby authorize the C�ty of Fridfey and/or its
empioyees to do what is necessary to replace the water meter. I understand that the properly owner
is liabie for the water line from the main t�the premise and all irrterior plumbing. (Per City cflde
40Z.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. Th1s to include,but nat limited to;valves,piping,wails,floors or d�e curb
stap box and service line. 1 understand I am alsa required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) `1 O� �
Name• Address• � i V 6-�C-e- �� �C.!
Ph+one Number: Date• .���i��
5ignature: ^
Witness Signat re•
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{ FRIDLEY CITY CODE
CHAP R 2.WATER,STORM WATER,AND SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repalr of any water or sewer line connecting the existing municipal system and any h�us.e
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shalt pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer DepartmenC shall be notified. It shall be unlawful to cover any connecting line untif an
inspection has been made and such cpnnection and the work incident thereto fias been approved by the City as a
proper and sultabie connection.
402.06.REPAIRS AND MAINTENANCE 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 tead has been extended tu the property line for connectfon,the applicant,owner�
or the occupant or user of such premises shail be liabie for all repairs required to any water fine and sewer iines
necessary for connection of the premises from the main ta the premises. If the prop�tty owner requests
maintenance service o�repairs be performed by the�ty,the property owner shafl be charged for the tosts of the
maintenance andJor�epairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shail be the responsibility af the appiicant,owner,occupant or user to perF�rm 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 operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. f Ref 638,1156,1191j