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Request Number: 9451
Public Works Division
Service Request
ProblemAddress: 6101 RainbowDr RequestedBy: AndrewRuhland
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIt METER Phone Number: 763-370-6582
Scheduled Date: 2014-11-19 SchedWed'ISme: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTiON TAI�N: �
Old meter#36077834 Old readin 020 0 New meter.#ustd old brass EAT#35159599
Status: Completed Resident Contacted I""
DateCompleted: 2014-11-19 Completedby: JosephKatzung
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Old Meter I�eading
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Replacement No. ������
Replacement Reading_�
Replacement Make�V��-
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Replacement ERT#
Rernarks: ���C��t�- a-`���� ��°`�'�
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Signed —'`
Request Number: 9451
Pubhc Works Division
Service Request
ProblemAddress: 6101 RainbowDr RequestedBy: AndrewRuhland
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 763-370-6582
Scheduled Date: 2014-11-19 __.�' Scheduled Time: 07:30:00
� �
ACTION NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-11-12
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
1�1���,y ��� �--��,
• - City nf F�idley �
_ ... �Uatpr Departm�nt , . .._ :. .. .r..._
6431 University Avenue NE
�ridley,MN 55432
(7631572-3566
I/we hereby autho�ize the�tY of Fridtey and/or its
emplayees to da what is necessary to replace the water meter. I understand tf'+at the propertY ew�ef
ic 1ia61e fe e water line frorn the main to the premise and all int�rior plumbing. (Per Cit11 c�de
402,a6) 1 aiso hold the City of Fridtey and/it�employees harmiessfat any oamages ma�mdy�.��
whit�doing this operation. 'i'his ta include,but nat timfted ta;valves►P�Ping,wa�is,floors or the curb
stop box and service line. I understand i a�r+alsfl required ta ohtaln a Permit P�or to any work�if
necpssary.
Final meter reading(old meter) ����� 5^��� .
Name•
Address: �(1 i I�tn�`h�ciric■� a'= -
Phone Number:__ Date: . `i I � �y
. �
Signeture• �` � �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4a2.WATER,STORM WATER,AND 5ANlTARY 5EWER
ADMINfSTRATiUN
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191)
4fl2A5.PERMIT FEE �
Prior to constructing or repair of anY water or sewer fine connectingthe existing municipal system and any house
ar buiiding for which the application is made,the owner or cnntraetor shall be required to obtain a permit for such
connection,and shalt pay a permit fee as provided in�hapter 11 of this Code. After such connection has been
made,the iNater and Sewer Department shall be notified. It sheil be unfawfuf to cover any cannect'sng line untii an
inspection has been made and such connecCion and the work incident thereto has heen app�oved by the City as a
proper and suitabte cannect�on.
402.06.REPAIRS AND MAINTENANCE TO C�NN�CTION
����Q�� ----�...+..+..+tio warPr senrice curh stop bux nr the_sewer lead at the propert�
{ine or a water service or sewer`tead has been extended to the propertylme for connecfion,the applicant�owner,
or the occupant or user of such premises shall be liable for a1f�epairs required to arry water fine and sewer{ines
necessary for connection of the premises from the main to the premises. If the prap¢Cty owner requests
maintenance service or repairs be perfarmed by the�ry,the prope�ty awner shall be charged for the costs of the
maintenance and/or repairs, including any neces�ary street repairs,at a rate set annuatly by.an admfnistraU�re
policy. It shatl be the respansi6ility of the appiirant,owner,accupant or user ta perfarm standard maintenance of
the seuver service line from the premises to the main including debris dearingar root cutting and to maintain the
� water service curb stap box for operability and at such height as will ensure that it remains abave the finished
. Re�6�8,-1,�5,-Z�n3:� .. . .- - - _
:,, .. , .. . . .._ ...-- ... .._. ..... ..._.
grade�f tri�iand or�roperty.� � ...�