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Request Number: 9317
Public Works Division
Service Request
Problem Address: 6021 Main St NE Requested By: Xiaolong,Shih
Department: WATER Address: No ad�dress provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-214-5952
Scheduled Date: 2014-10-31 SchedWed Time: 08:30:00
ACTION NEEDED;AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N: � ✓
Old meter#95625353 Old reading 381 60 Newmeter#Usedhldbrass ERT#35171677
Status: Completed Resfdent Contacted I!
Date Completed: 2014-10-31 Completed by: RyanJohnson
Hours
�3�
Request Number: 9317
Pubhc works Division
Service Request
Problem Address: 6021 Main St NE Requested By: Xiaolong,Shih
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-214-5952
Scheduled Date: 2014-10z31 � Scheduled�e: 08:30:00
� �
ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed b
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- City of Fridley
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. . . Watpr�epartm�n - -.-.: ,
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authori:e the Gt1►of Fridley and/ar its
employees to do what is necessary to replace the water meter. i understand�at the Pt�peKY°��
is liable for the water tine from the main to the premise and all interior plumbing. (Per City code
402.06� 1 also hold the Giy of Fridley and/its employees harmless vr any amages ma o y
while doing this aperation. This to indude,but not limited to;valves►P�P��B•����0°�°r���
stop box and service line. I understand I am also required to obtain a permit ptior to any work,if
necessary. �� ��
n t r eadi old meter � � �
Fi al me e r ng( i
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Address. �/7V!i( ��1�1.t��,.�'J ��
Name• _ -
Phone Number: DatB:�
Slgnature•
Witness Signature:
FRIDLEY CITY CODE
CHAP 4p2.WATER,ST�RM WATER,AND514NITARY SEWER
ADMINISTRAT{ON
� (Ref Ord Na 113!464,565,566,629,638,662,922,988,1144,1156,1191)
4�2.�5.PERMfT FEE �
Prior to rnnstructing or repair of any water or sewer line connectingthe existing municipal system and any house
or building for which the applicatian is made,tfie owner ar cantracta�shall be required to obtafn a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the 1Nater and Sewer Department shall be not[fied. lt shaft be uniawfut to cover any cannecting line until an
Inspection has been made and su�h connection and the work incide�rt thereto has been approved by the Ciry as a
proper and su'�table connection.
402.06.REPAIRS AND MAINTEIVANCE TO CONNECiION
���p�����..ti.,e„M��a r�rhP water service curh stoa box or the sewer(ead at the prvpert'
liae or a water service ar sewer lead has been extended to Che propertyline for connecdon,the applicant,owner,
or the�ccirpant or user of such prem'�ses shafl be liabte for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premise�. If the propetty owner requests
maintenance senrice or repairs be perfarmed by the City,the property awner shail be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an adm(nistrative
policy. It shall be the responsibiliry of the applicant,awner,occupant or user to perfarm standard maintenance of
� the sewer service line from the premises to the main inciuding debrisclearingor root cutting and ta maintain the
water se�vice curh stop baxfor o�erability and at such height as wiN ensure that it remains abave the finished
. . . . . .. .. . .... .. ..
':,g�aife af�ttie land orprdp�rty.�(Re�63�,-1�5,.1.���:� -- . .- ' -