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Request Number: 8326
Public Works Division �\�\
Service Request
Problem Address: 401 Rice Creek Blvd. Requested By: Ugen Namguyal
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-219-3997 cell
Scheduled Date: 2014-07-15 Scheduled Time: 01:00:00
ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-02
ACTION TAI�N: �
Old meter#40488019 Old reading: 31 40 New mete�;`$aat�s bC�ss body ERT#35160148
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Status: Completed Resident Contacted I""
Date Completed: 2014-07-15 Completed by: Ryan Johnson
Hours
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� INSTALLATION
u-nroF STANDARD WATER METER
FRIDLEY
Address �'� �'Cc �"=�Y`( `7/vc.�
Name �� �'`���-
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Date /� � ��'�
Old Meter Number ��� 3l 9 �
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Old Meter Reading ,�G � � ,s d
Replacement No. Ll�G���d l g
Replacement Reading a
Replacement Make���CS'��
Remarks: OC� fviP`/�����������'�;�
Signed: �'�� �
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Request Number: 8326
Public Works Division
Service Request
Problem Address: 401 Rice Creek BMd. Requested By: Ugen Namguyal
Department: WATER /kJdress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-219-3997 cell
Scheduled Date: 201407-15 Scheduled Time: 01:00:00
� /� � �
ACTION NEEDED: InstaN AMR
Created by: Cheryl Pellegrin Date Created: 201407-02
ACTION TAKEN:
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Status: !n Progress Resident Contacted O
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Date Completed: Completed y:
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- City of Fridley
- - -- Water Department - - -
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
��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 C'ity code
402.06) 1 also hold the City of Fridiey andJits employees harmless for arry damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
stop box and service line. i understand 1 am also required tv o6tain a permit prior to any work,if
necessary.
Final meter reading�old meter) f
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Address: `"`�C'�' ��� 1�d� ,
Name• -
. ,Cs,`�
Phone Number• - Date•
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.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 constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the applicatinn is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover any connecting Ifne 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 MAINTENANCE TO CONNEC7'ION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the praperty
line or a water service or sewer lead has been e�ctended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for cannection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shali be the�esponsibility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line from the premises ta the main including debris clearing or�oot cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)