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Request Number: 8338
Public Works Division
Sgrvice Request
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Probtem Address: 6731 Main St NE Requested By: Candida Eugenio
Department: WA1ER A�ddress: No address provided
Problem/{ssue: INSTALLAMR METER Phone Number: C-612-201-6812
Scheduled Date: 201407-07 3cheduled Time: 09:00:00
ACTION NEEDED: InstaN AMR
Created by: Cheryl Pellegrin Date Created: 201407-03
ACTlON TAKEN:
Old meter#33046534 Old reading: 71 40 New meter#44922028 ERT#35171595
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Status: Completed Resident Corrtacted O
Date Completed: 201407-07 Completed by: Ryan Johnson
Hours
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City of Fridley
Water Department
Actdress_ ��3 J �Z��h v��
Name—��rhr�� ��v£��n��f'
Date � '/� _ � �,
' Old Meter Number �j � � �_
Old Meter Reading oZ- C�
Replacement No. v �"� L
Replacement Reading dov��v
Replacement Make �c��'
Remarks: ,l�-�G�jC J�1�-'�r/'�
Signed �
Request Number: 8338
Public Works Division
Service Request
ProblemAddress: 6731 Main St NE Requested By: Candida Eugenio
Department: WATER Address: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: C-612-201-6812
Scheduled Date: 201407-07 Scheduled Time: 09:00:00
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ACTION NEEDED: InstaA AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-03
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Complet by:
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- Ciry af Fridiey ._
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_ � --� Water Department . _.. _
6431 University Avenue NE
Fridle�r,MN 55432
(763j 5723566
{/we hereb� authorize the City of Fridley and/or its
employees to do what is necessary to repface the water meter. I understand that the property owner
is liable far the water line frorri the main to the premise and a8 interiar plumbing. (Per�ty code
40t.06� I also hold the Gty of Fridley and/its employees harmless for any dama�es that may occur
whi{e doing this aperation. This to inctude,but not limited W;valves,piping,walis,floors o�the curb
stop I�x and service line. 1 understand f am also required to obtain a permit prior to any work,ff
necessary.
Final metec reading(old meter) v� I ���O
Name• Address• ���� '"`��5�
Phcne Number. Date:^�'����
Signature:
Witness Signature: "
FRIDLEY qTY CODE
CHAPTER 4Q2,WATER,STORM WATER,AND SANtTARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to canstructing ar repair of any water or sewer li�e connecting the existing munictpa{system and any hous.e
or buifding for which the application is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shaN pay a permit fee as provided in Chapter 11 af this Cade. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful ta cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
praper and suitable connection.
402.06.REPAIRS AND MAlNTENANCE 70 CONNECTION
Aiter the iniHaf 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 connectian,the applicant,owner,
or the occupant or user of such premises shall be liabie for ail repairs required to any water line and sewer lines
necessary for connection of the premises frorr►the main to the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the�ty�the property aw�er shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
policy. It shatl be the responsihility of the applicant,uwner,occupant or user to perform standard tnaintenance of
' the sewer service line from the premises to the main lncluding debris clearing or root cutting and to maintain the
water service curb stop box for aperability and at such fieight as wilt enzure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)