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Request Number: 8983
Public Works Division
Service Request
Problem Address: 266 Mercury Dr Requested By: Kim HerrmanY►
Department: WATER Address: No address pro�ided
Problemllssue: INSTALL AMR METER Phone Number: 612-201-9292
Scheduled Date: 2014-10-01 Scheduled T'ime: 08:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-09-26
ACTION TAI�N:
Old meter#19759090 Old reading• 120 30 Newmeter#44920976 ERT#35159748
Status: Completed Resident Contacted C"
DateCompleted: 2014-iQ-Q1 Completedby: RyanJohnson
Hours
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Request Number: 8983
Public Works Division
Service Request
Problem Address: 266 Mercury Dr . Requested By: Kim Herrmann
Department; WATER Address: No address provided ~
Problem/Issue: INSTALL AMR METER Phone Number: 612-201-9292
Scheduled Date: 2014-10-01 Scheduled Time: 08:00:00
�.C�� D��- S' � � :C� .�n�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-09-26
ACTION TAI�N:
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Status: 1n Progress Resident Contacted p
Date Completed: Complete
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- City of Fridley
_ _ - , VMatp�r Ilepartment
_ _ -
__ . ,_..__
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�tY af Fridley and/or i�
employees to do what is necessary to repiace the water meter, I unders�nd that the property owner
_is_lia�l�for the water line from the main to the premise and all interior plumbing. (Per Gty code
402.Q6) i alsa hold the City of Frldiey and/its employees fiarmiess or any amages t�at may�o c�P-
while doing this operatian. This to include,but not limited to;vahres,piping,walls�floors or the curb
stop box and service line. t understand i am also required to obtain a permit prior to any w�rk,if
necessary.
Final meter reading(old meter) ��v � ��v
Name: Address: ��� /�.��r� ,�r
Phane Number. Date: <�'/ ���
Signature: `�
Witness Signature:
FRIDLEY CITY CODE
CH ER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATIQN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.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 contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as pruvided in Chapter 11 of this Code. At�er such connection has been
made,the Water and Sewer Department shatl be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENAWCE TO CONNECTION
aqf�.tqe-ipitiat.coaae�na.has hPPn made to the water service cur6 stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant�owner,
or the accupant or user of such premises sha{{be liable far atl�epai�s required to any water line and sewer{ines
necessary for connection of the premises from the main to the premiset. If the propetty awner requests
maintenance service or repairs be performed by the City,the property owner 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
policy. It shall be the responsi6ility of the applicant,awner,occupant or user to perform standard maintenance af
- the sewer 5ervice line from the premises to the main inciuding debris ciearing or root cutting and to maintain the
water service cur6 stop box for operability and.at such height as will ensure that it remains above the finished
.. .. . . . . . ._ .. . .__. .._
:,grade of ttie iand or�rop�r�y.�(Ref 635,-1�5,-t�93:� ._. .. . . . . . �