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Request Number: 9383
Public Works Division
Service Request
Problem Address: 4756 2nd St Requested By: Gazy Berg
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 574-2365
Scheduled Date: 2014-11-24 Scheduled Time: 02:30:00
ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAKEN: � / ✓
Old meter#18089077 Old reading: 645 50 New meter#44920958'Q'ERT#35159590
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Status: Completed Resident Coutacted I""
Date Completed: 2014-11-24 Completed by: Joseph Katzung
Hours
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; Request Number: 9383
Public Works Division
Service Request
Problem Address: 4756 2nd St Requested By: Gary Berg
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMRMETER Phone Number: 574-2365
.. ScheduledDate: 2014-11-24 � 5che�luledTime: 02:30:00
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ACTION NEEDED:t1MIt
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAI�N:
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Status: Tn Progress Resident Contacted Cl
Date Campleted: Completed by:
Hours ��'�'��� �`'`%7
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- City of Fridley
- ._ ,.., Wat?r Dppartment
._ _,_._._..
6431 University Avenue NE
Fridfey,MN 55432
(7fi3)572-3566
I/�� here6y authorize the�ity af fridley and/or its
employees to dfl what is necessary to repiace the water meter. I understand that the property owner
e water tine frum the main to the premise and atl interior plumbing. (Per Gt�i code
402.06) i.also hotd the Ciiy of Fridley and/its emptoyees harmipss ur any amages a may -
white doing this aperation. This ta includel but nat limfted ta;vaives►Piping,udatl�,floars ar the wrb
�top bux and service line. i understand t am also required to obt�n a permit prior ta an�work,if
necessary.
Finai meter reading{old meter) ���-�� r�l!t �1 �� J�� ,
Name:
Address:„t����� -�� �-,
PhoneNumber• Date• C��a����
Signature:
Witnets Signature:
FRIDLEY CITY CODE
CHAPTER 402•WA'TER,STORM WATFR,AND SANITARY SEWER
ADMINlSTRAI'IC1N
(Ref Ord No 113,464,565,566,629,638,662,922,988,114A�,1156,1191)
4AZA5.PERMIT FEE �
Prior to tanstructing or repair of any water ar sewer line coMecting the existing municipal system and any house
ar huilding for which the application is made,the owner or contractor shall be required to obtain a permit for such
canrtection,and shal{pay a.permit fee as provided isr Chapter 11 of this Code. After such cannectian has been
made,the Water and Sewer Departme�necti'on and he work nctdent theretu`ha been app onved by the City as a n
i n s p e c t i o n h a s b e e n m a d e a n d s u c h c o
praperand suitable connection.
402.06.REPAIRS AND MAINTENANCETU CONNECfION
����p�_ _�___�_.,,.�,.+�,6 WarP���rvlce curh stoQ bax ar the sewer lead at the prope�t"
line or a water serulce ur sewer lead has been extended to the property line for connectionr the applicant�owner,
or the�cwpant or user of such premises shall be liable for alt repalrs required to any water tine and sewer lines
❑ecessary fo�connectian of the premises from tfie main ta the premises. tf the prop�ty owner requests
maintenance service ar repairs he performed by the Ciry,the property owner shall be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by an adminf�trative
PaUcy. It shall be the responsibiiity af the applicant,awnec,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including de6ris clearing or root cutting and to maintain the
� water service curh stop box for operability and at such height as w71 ensure that it remains abuve the finished
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