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Request Number: 8150
Public Works Division O3_ � �..�
Service Request
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r m dr . 71 Rice Creek Blvd NE Re uested B : E se Kaner �
P obie �! ess• 5 q y N
Department: WATER A►ddress: No address provided
Problemllssue: INSTALLAMR MEIER Phone Number: Cell 763-571-4683
Schedul�d Date: 2014-06-27 Scheduleci Time: 11:00:00
ACTION NEEDED: InstallAMR
Created by: Cheryl Pellegrin Date Created: 201406-19
ACTION TAKEN:
Old meter#16228287 Old reading: 048 90 New meter#44921900 ERT#35172023
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Status: Corr�leted Resident Contacted C�
Date Compteted: 20140&27 Completed by: Ryan Johnson
Hours
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Request Number: 8150
Public Works Division
Service Request
Problem Address: 571 Rice Creek BMd NE Requested By: Elyse Kaner ,
Department: WATER Address: No address provided �
Problemlissue: INSTALLAMR MEIER Phone Number: Cell 763-571-4683
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Schedule Date: 2014-06- 7 �cheduled Time: 11:00:00 �
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ACTION NEEDED: Install AMR "
Created by: Cheryl Pellegrin Date Created: 2014-06-19 � "`
ACTION TAKEN:
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Status: In Progress Resident Contacted � � �� .
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Date Completed: Completed b :
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• - City of Fridley
_ Water Department
6431 University Avenue NE
Frid(ey,MN 55432
(763)572-3566
1/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 prope�ty owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06} I also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,waits,fioars or the cur�
stop box and service line. I understand i am also required to obtain a perrnit prior to any work,if
necessary.
Final meter reading(old meter) �� � � ���
Name•
Address: �� ` �I � �'��''�- `Ul UC
Phone Number• � t ����� ��
Signature•
Witness Signature:
FRIDLEY CITY CaDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMfNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.05. 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 application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as p�ovided in Chapter 1Z of this Code. After such 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 connection.
402.06.REPAIRS AND MAINTEPIANCE TO CONNECTION
After the initia(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 extended 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(ines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the property awner shal!be charged for the costs of the
maintenance and/or repairs, inc(uding any necessary street repairs,at a rate set annually by an administ�ative
po(icy. It sha(t be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
Q the sewer service line from the premises to the main inciuding debris clearing or root 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)