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Request Number: 9162
Public Works Division
Service Request
Problem Address: 255 Merciuy Dr Requested By: Manish Sahri
Department: WATER Address: No address provided
Problem/Issue: INSTALL REGULAR ME1ER Phone Number: 763-227-5599
Scheduled Date: 2014-10-15 Scheduled Time: 02:30:00
ACTION NEEDED:2014 ANIIt
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTTON TAI�N: ,�
Oldmeter#16228267 Oldreadi I51 10 Newmeter#�Is�o�brass ERT#35172136
Status: Completed Resident Contacted l"`
Date Completed: 2014-10-15 Completed by: Ryan Johnson
Hours
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Request Number: 9162
Public Works Division
Service Request
Problem Address: . 255 Mercury Dr Requested By: Manish Sahri
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL REGiJLAR METER Phone Number: 763-227-5599
Scheduled Date: 2 14-10-15 �p 5cheduled Time: 02:30:00
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ACTION NEEDED:2014 AMR
Created by: WendyHiatt Date Created: 2014-10-14
ACTION TAI�N:
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Status: In Progress Resident Contacted C1
Date Completed: Comple ed b
Hours
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V - City of Fridley
_ . : _,.,. �atPr tleparkment
_ _.. .. . . _. _ . . ...
6431 University Avenue NE µ�� �
Fridley,MN 55432
(7b3)57Z-35b6
�/we hereby authorize the Gty of Fridiey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable f+�r the water line fram the main to tfie premise and aN interiar plumbing. (Per�ity cflde
401.06) 1 alsa hold the Ciiy of Fr�dley and/its employees harmless or any amages a may -
while doing this operadon. This ta inclade,fwt not limited tn;valves,piping,walls,fioars or the curb
stop box and service fine. 1 understand 1 am also required to obtaln a permit prior to any worly if
necessary.
final meCer reading(oid mei�rf l�� `��'c�
Name: Address: � ✓✓ OVt'�'f" �r y ��
Phune Num6er. Date:
lb-����._
Signature:
Witness Signature�
�RIDLEY CITY CaDE .
C R 4fl2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,5fi5,556,629,538,662,922,988,1144,1156,1191)
4412.05.PERMiT fEE
Prior to constructing or repair of any water or sewer line connecting the existtng municipat system and any house
or buiiding for which the appfication is made,the owner ar contractor shaH be required to obtain a permit for such
connection,and shal!pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shatl be nutified. It sha(1 be unlawful to caver any connecting line until an
inspection has been made and such cannection and the work intident thereto has been approved by the City as a
praper and suitable connectian.
� 402.06.REPAIRS AND MAfNTENANCE TO CONNECfION
���A����as i,nPn mad�ts,i�,he water service curb stov box or the sewer{ead at the propert�
line or a water ser+rice or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the accupant or user of such prem'�ses shall be liable fa�all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�tty owner requests
maiatenance service or repairs be performed 6y the City,the property awner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. tt shall be the responsibifity af the appficant,awner,occupant or user to perf'arm standard maintenance af
• the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the
water serv+ce cur6 stop box for operability and at such height as will ensure that it remains abave the finished
., . ., ._.--- ... .
"'graii"e of tf�e iand or�rop�rey.�(ReF 63$,1�5,.t�93:� .. .. . _ . _