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Request Number: 8459
Public Works Division
Service Request
Problem Address: 6761 Plaza G�rve Requested By: Abebe Gebre
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 702-975-6102
Scheduled Date: 20t4-07-22 Scheduled Zlime: 02:00:00
ACTION NEEDED:2014 AbIIt
Created by: Wendy Hiatt Date Created: 2014-07-15
ACTION TAI�N:
Old meter#36421696 Old reading: 10 50 Newmeter#44921421 ERT#35171753
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Status: Completed Resident Contacted i''"
Date Completed: 2014-07-22 Completed by: Ryan Johnson
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City of Fridley
- Water Department
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Date ,� J �"J ( �
Old Meter Number � �� � �
Old Meter Reading 6� � "
Replacement No. 3 � (� F
Replacement Reading �
Replacement Make � �t.�'�!�
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Request Number: 8459
Public Works Division
Service Request
Problem Address: 6761 Plaza Curve Requested By: Abebe Gebre
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 702-975-6102
Scheduled Date: 2014-07-22 SZcheduled Time: 02:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-15
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete
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- - City of Fridley
. . --. Water Department .. :.. .
6431 University Avenue NE�
Fridley,MN 55432
___ _ __ _ _ _(763j 572:3556 _
i/we hereby authorize the City of Fridley and/or its
�mpioyees ta do what is necessary to replace the wate�meter. (understand that the property owner
is liable for the water line from the main t�the premise and all interior plumbing. (Per�ty code
40l.06) I also hold the Caty of Fridiey and/its ernployees harmless for any damages that may occur
while daing this operation. This to include,Iwt not limited to;valves,piping,walls,floors or the cvrb
stop box and senrice line. I understand 1 am also required to obtain a permit p�ior to any work,if
necessary.
Flnal mete�reading(old meter) � � " �� ��
Name• Address• �7,�0/ �°� 7-0.-- w����
Phone Number: Date: ���/ `
Signature:� �
-- _._ _ __. __ ________
Witness Signature:
FRIDLEY CITY CaDE
CHARTE 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,98811144,1156,1191)
402.05.PERMR FEE �
Prior to constructing or repair of any water or sewer line connecting the existing munidpal system and any hous.e
or building for which the application is made,the owner or contracto�shall 6e required to obtafn a pertnit for such
co�nectian,and shell pay a permit fee as provtded in Chapter 11 of thi�Cade. After such cannection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any rnnnecting tine until an
inspection has been made and such connection and the work inddent thereto has been approved by the City as a
proper and suitabie mnnection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial 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 connection,the appiicant,owner,
ar the occupant or user of such premises shall be liabte for all�epalr�required to any water line and sewer lines
necessary for connection of the premises fram the main to the premises. If the propgtty owner requests
maintenance service or repairs be performed by the Gty,the property awner shall be charged for the costs of the
maintenance andJor repairs, including any neces5ary street repairs,at a rate set annualfy by.an administratlwe
policy. it shail be the responsibility uf the appiicant,owner,occupant or use�ta pecform standard maintenance of
� the sewer service line from the premises ta the main including debns clearing ur root cutting and to maintain the
watp��p��p M��t,�t�n h�x f�r��arahititv and at such hei¢ht as wfll ensure that it remains above the finished