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Request Number: 9555
Public Works Division
Service Request
Problem Address: 5854 3rd St Requested By: Fatuma
Department: WATER Address: No a�lress provided
Problem/Issue: INSTALL AMit METER Phone Number: 612-990-6081
Scheduled Date: 2014-12-OS Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-12-01
ACTION TAI�N: �
Oldmeter#98160824 Oldreading:228 70 Newmeter#44920895 ERT#35158976
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Status: Completed Resident Contacted i"'`
Date Completed: 2014-12-OS Completed by: Joseph Katzung
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Request Number: 9555
Public Works Division
Service Request
Problem Address: 5854 3rd St Requested By: Fatuma
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-990-6081
ScheduledDate: ,.. 2014-12.0 Scheduled'Iime: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-12-01
ACTION TAI�N:
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Status: In Progress Resident Contacted L�
Date Completed: Completed by:
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� , - C'�ty of Fridley
- , ... _.... W�t�r Dppa�rtm�nt ..... :.. ... ........
6431 University Avenue NE
f�idley,MN 55432
(763)572 3566
��wQ hereby authorize the titY of Fridtey andJor its
empioyees to do what is necessary to replace the water meter. 1 understand that the�P�OP��er
is liable for the water(ine from the main to the premise and al)ir�r�o�'p�umbi�. ( CKY
4Q2.06] 1 alsa hatd the(�iy of Frldley andrt�employees harmlle�for any aamages maz mdr�.�.���
while doing this operation. This ta 9ndude,I3Ut iiOt IIfl11t�I t0i Va��r P�ping,walis�floors or the arb
stop box and senrice Une. I understand i am afso required to ohtain a Permit prior to any wark,if
, necessary. -
Finat meter reading(old meter) ���i�����__—____�—
rd �
Name. Address: S��y 3� ' :
Phone Number. Date:,_ �`�/S—��.�
Slgnature•
W(tness Sig�ature• �
�RIDLEY CITY CODE
CHAPTER 40Z WATER,STORM WATER,A(�iD SANITARY SEWER
ADMINISTRATION ,
(Ref Ord Pfu 113,464,565,566,fi29,638,662=9Z2,gg8,1144�1156�1191)
4Q2.05.PERMIT FEE �
Prior to constructing or repair ofi any water or sewer{ine connecting the e�asting municipal system and any house
or 6uilding for which the application is made,the owner or cnntreetar shall be required to obtain a pecmit for such
can�ectian,and shall pay a permit fee as pravided in Chapte�11 of this Code. After such cannecUon has been
made,the Water and Sewer Deparlment shali be notifled. It shall be unlawful to caver any�onnecting line untif an
inspection has been made and such connection and the wark incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENaNCE TO CONNECTION
���p�i,. p i f,P n m�d o th water se�vice eurh stop bax nr the sewec lead at the propert'
line or a water service ar sewer lead has been extended to the properlylme far connechon,the applidnt,ownec,
or the oca�pa�t ur user of such premi�es shall be liable for all�epairs required to arry water 1'me and sewer lines
necessary for cannection oE the premise�from the main to the prerniset. If the prop�[ty owner requests
maintenance service or repairs be performed 6y the Gty,the praperty awner shall be charged for the c�sts of the
maintenance and/or repairs, including any neces5ary stieet repairs,at a rate set annuatty by.an adminlslrative
poticy. It shail be the responsihi�itY pf the applicantf owner,o�cupant or user to perfarm standard maintenance of
the sewer service line from the premises to the main inciuding debris dearing or roat cutting and to maintaln the
� water�ervice curb stop box for operability and at such height as will ensure that it remains abave the finished .
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,,.grade di tf7e�la�vd or�ra��rty.-�Rea 63�,��5,-:L�..n3: �. �� ,. .._ .