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Request Number: 9303
Public Works Division
Service Request
Problem Address: 244 Mercury Dr Requested By: Donna Prewedo
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER P6one Number: 763-205-3191
5cheduled Date: 2014-10-31 Scheduled Time: 03:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-28
AC'I ION TAI�N:
Oid meter# 17482045 Old reading 420 180 New meter 3 44921934 ERT#35171671
Status: Completed Resident Contacted C"
Date Completed: 2014-10-31 Completed by: Ryan Johnson
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Public Works Division
Service Request
Problem Address: 244 Mercury Dr Requested By: Donna Prewedo
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-3191
Scheduled Date: 2014-10-31 Scheduled Time: 03:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-28
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed b : ,
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� - City of Fridley
_ a_ , ._ ,. -..., VUatpr Department ,.� , . _ _
, . ._
6431 Uni�ersity Avenue NE � ���
Fridley,MN 55432
(7fi3)5723566
i/we hereby authorixe tt�e t�fi+��dtey and/or tts
employees to do what a netessary to replace the water meter. i understand that the propertY owner
�1s liahle fnr the water tine fram the main�o the premise and all interior plumbing. (P��ty code
402.06) I alsa hold the�aty of Fridley and/iis employees harmless r any amages t�at ma -
while doin�this aperat9on. This tu include,but nat limited to;++aNes►p�Pi�g.+����'���or the curb
stop box and service line. I understand i am also required to abtafn a permit prior to any work,if
necessary. O
Final meter reading(old meter)
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Name• Address• �" `� �
Phane Number: Date: ���J/! �
S3gnature:
Witness Signature:
FRIDLEY CITY CODE
CH 40Z.WA'fER,STORM WATER,ANDSANI7ARY SEWER
ADMlNiSTRATIUN
� (Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1155,1191)
402A5.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 cantractor shall be required to obtafn a petmit for such
connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such cannection has been
made.the iNater and Sewer Department shail be notified. It sha{f be uniawful to caver any cannecting fine until an
inspection has been made and su�h connection and the work incident thereto has 6een approved by the City as a
praper and suitable connectiun.
402.d6.REPAIRS AND MAINTENANCE TO CONNECTION
��p���a�hoo�ma�P tr►the water servi�e curh stop box or the sewer lead at the propert�
iine or a water service ur sewer iead has been extended to the property line for connection,the appticant,awner,
or the occi�pant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for co�nection of the premises from the main ta the premises. If the propgy.ty owner requests
maintenance service or repairs 6e performed 6y the City,the propeity awner shall be tharged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
poticy. It shall be the responsi6ility of the applicant,awner,occupantor user to perfortn standard maintenance of
� the sewer service line from the premises to the main including debr�clearingar root cutting and to maintaln the
water service curb stnp box far operability and at such height as wiN ensure that it remains abave the finished
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