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Request Number: 9541
Public Works Division
Service Request
Problem Address: 6181 Rainbow Dr Requested By: Terry Haas
Department: WATER Address: No ad�ess provided
Problem/Issue: IN5TALL AMR ME1ER Phone Number: 651-248-5436
,
Scheduled Date: 2014-12-OS Scheduled Time: 10:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-25
ACTION TAKEN: �
Old meter#36077842 Old reading 04 60 New meter#44920893 ERT#35158991
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Status: Completed Resident Contacted f'"
Date Completed: 2014-12-OS Completed by: Joseph Katzung
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City of Fridity
Water Department
Address IEjj,�� ��NC�� Y�C
Name ��ZR� �A�j � �
Date � � �"� U`� � �� �
Old Meter Number �ID ���
Old Meter Reading �(� �
Replacement No. ���� gj��,
Replacement Reading �
ReplacemeMt Make ������,
Remarks• CSUQ �'1���--
Signed
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Request Number: 9541
Public Works Division
Service Request
Problem Address: 6181 Rainbow Dr Requested By: Terry Haas •
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-248-5436
Scheduled Date: 2014-12-OS Scheduled Time: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-25
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
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, - City of Fridley
- , _.... V1lat!�r Depa�tmenfi �
6431 University Avenue NE � �
Fridiey,MN 55432
(763)572-�566
��We her�by authorize the C�fil�Fridley and/or its
employees to do what is necessary ta replace the water meter. I understand that d�e property owner
�liable for the water line from the main to the premise and all interior plumbing. (Per C'ity code
402.06) 1 alsa hold the�ty of Fridley and/its employees harmiesa or any amages that may occur�
while doing this operadon. This tu indude,but not limit�d tb;vahres►Piping,walls,floors or the aifi
stop box and service line. I under�tand I am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(oid meter) � I���� . �
Address.� (o I $1 �ia,� � ��".
Name: .
Phone Number� �e• �/S/�
5ignature:
Witness Signature: -
FRIDLEI(CITY C�DE
CHAPTER 402.WATER,STORM WATER�AND�INiTARY SEWER
ADMINISTRATIDN
(Ref Ord N�113,464,565,566,629,638,662,922,985,1144,1156,1191)
40Z.05.PERMiT FEE �
Prior to constructing or repair of any water or sewer Iine connecting the adsting municipal system and�ny hause
or huiiding for which the application is made,the owner or contractor shali be required to obtain a permit for such
cannection,and shall pay a permit fee as pruvided in Chapte�11 of this Code. After such cannection has been
made,the iNater and Sewer Department shall be notified. It shall be unlawful to cover any cannecting line untii an
inspectiun has been made and su�h connection and the work incide�rt thereto has been approved by the City as a
proper and suitable connection.
402.Ofi.REPAIRS AND MAIM'ENANCE TO CaNNECTION
���p� _�___�_.,,.+..�tio�.,�rp�S�rvlce cu�h stoo box or the sewer lead at the propett�
line ar a water service or sewer lead has been extended to the property line for cannecfion,the applicant�owner,
or the occupant or user of such premises shaA be liable for all irepairs required to arry water line and sewer lines
neces5ary for connection of the premises from the main ta the premises. If the prapg[ty owner requests
maintenance service ar repairs 6e perfarmed by the City,the properly awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by.an adminlstrathre
poticy. It shali be the responsihif'�ty of the applicant,awner,occupantor use�ta perForm standard maintenance of
• the sewer service line from the premises ta the main including debris dearing or root cutting and to mamtain the
� water service cur6 stop box fur operabifity and at such height as will ensure that it remains abave the flnished
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._ . . . ...
grade of tri�land or�ro��rty.-(Re�6��,-y�55,.13��: ._. ._ ..._ ._.
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