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Request Number: 9143
Public Works Division
Service Request
Problem Address: 256 Mercury Dr Requested By: Clinton Coppecus
Department: WATER Address: No address provided
Probiem/Issue: INSTALL AMR MEZER Phone Number: 763-226-7052
Scheduled Date: 2014-11-06 Scheduled 1ime: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
ACTION TAI�N:
Old meter# 17158084 Old reading 308 30 Newmeter#44920951 ERT#35159163
Status: Completed Resident Contacted ['"
Date Completed: 2014-11-06 Completed by: Joseph Katzung
Hours
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Request Number: 9143
Public Works Division
Service Request
. Problem Address: 256 Mercury Dr Requested By:_ Clinton Coppecus
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-226-7052
Sched 2014-11-06 Scheduled T�me: 07:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
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ACTION TAI�N: ��
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5tatus: In Progress Resident Contacted p
Date Completed: Completed by:
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- City of Fridiey
-: M/ater Department
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6431 University Avenue NE
Fridfey,MN 55432
(763�572-3566
I/we hereby authorize the t�tY of fridfey and/or its
�mployees to da what is necessary to replace the water meter, I understand that the property owner
ic liabie f4r the water{ine from the main to the premise and af{interior plumbing. (Per Gty c�le
402.06) i alsn huld the City of Frldley and/its empioyees harmless or any amages a ma "
white doing this opera#ion, This tu include,6ut not limited ta;vatves�p�p�ng,walls,floors or the curb
stop box and senrice fine. t understand 1 am atso required to o6tain a permit priar#o any work,if
necessary.
Final meter reading(old meter) ��3
Name: Address: a�� /���'r
Pfione Number: ��� �� l
5ignature•
� Witness Signa e: v �' "
RIDLEtf CITY CaDE
CHAPTER 402.WA7ER,STORM WA7ER,AND SANITARY SEWER
ADMlNISTRATiUN
(Ref Ord Na 113,454,565,566,629,638,662,922,988,1144,1156,1191J
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any house
or 6uilding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shait pay a permit fee as pruvided in Chapter 11 of this Cade. After such cannection has been
made,the Water and Sewer Department shall be notified. {t shall be un{awful to cover any connecting Ifne untit 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 MAINTENANCE TO CONNECT{ON
�.�b�����i�a��...e�jp�g tn tha watPr Se ce curG stop box or the sewer lead at the propert�
fine or a water service or sewer{ead has been extended to the propecty{ine far connectian,the applicant,owner,
or the occupant or user af such premises shall be liable for ali�epairs required to any water line�nd sewer tines
necessary for connection af the premises ftom the main ta the premises. if the propgtty owner requests
maintenance service or repairs be performed hy the City,the pruperty owner shaA be charged for the costs of the
. maintenance andJor repairs, including any necessary street repairs,at a rate set annual{y by.an adrn{nistrative
policy. It shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water senrice curb stap box for aperability and at such height as will ensure that it remains above the finished
. . _ . ._ .. . .._. - .
„graife of ifie land ar�roper�y.�(Rei 638,_],�S,.Z�n3:� _. .. . . . _.