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Request Number: 9494
Public Works Division
Service Request
Problem Address: 5815 2nd St Requested By: Bruce&Arniette Ltmdberg
Departmeat: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-3723
Scheduled Date: 2014-11-26 Scheduled Time: 07:30:00
ACTION NEEDED:2014 AMR PLEASE MAKE SURE YOU ARE ON TIME AS'IHEY WORK ODD HO�]RS:'IHANK
YOU!
Created by; Wendy Hiatt Date Created: 2014-11-18
ACTION TAI�N: ✓
Old Meter# 19453012 Old reading: 50 60 Newmeter#44922237 ERT#35159277
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Status: Completed Resident Contacted 1�
Date Completed: 2014-11-26 Completed by: Joseph Katzung
Hours
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Request Number: 9494
Public Works Division
Service Request
Problem Address: 5815 2nd St Requested By: Bruce&Annette Lundberg
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3723
Scheduled Date: 2014-11-26 � Scheduled Time: 07:30:00
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ACTION NEEDED:2014 AMR PLEASE MAKE SURE YOU ARE ON 1IlvIE AS 1T�Y WORK ODD HOURS.IHANK
YOU!
Created by: Wendy Hiatt Date Greated: 2014-11-18
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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;� � City of Fridley
- _ -... Wat�r Dppattment
_ ._ .._......
6a31 University Avenue NE
Fridley,MN 55432
(763j 57Z-3566
��We hereby authorixe the City of Fridley andior its
employee5 to do what is necessary to repiace the watar meter. I under�and that the pr°perty o�►�►�'
—is_liable far the water{ine from the main ta the premise and al!inter�or plumbing. (Rer CitY code
402.Q6) I alsa hald the�ty of Fridley andrts empioyees harmi�ssfor any damages tna may�o r-
while doing this operadon. This#u include,but not limited to;vai�es�Pipi�B.wa��5�floors or the curb
stop 6ox and service line. 1 understand i am also required to ohtafn a permit prior to any wark,#
necessary.
final meter read�ng(old meter) S �� `��
Name•
Address• 5 `d i S .?�`� �% -
._....... ...,.�,�: .. Date: ����s1�ti
Phone Number� �.. ,�4,
Signature. -_'_--- _.....
�tness Signature:
FRIDLEY CI'TY CODf ,
CHAP'TE�t 402.WA'fER,STORM WATER,ANO SANITARY SEWER
ADMfNiSTRATIUN
(Ref Ord No 113r 4fi4�565!5661629�638,66Zf 922�988�1144�1156,1191)
402.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipat system and any hause
ar building for which the application is made,the owner or contrattor shall be required to obtain a permit for such
conrrectian,and shalt pay a.permit fee as prnvided in Chapter ii of this Code. After such cannection has been
made,the Water and Sewer Department shall be notified. it shali be unlawful to cover any cannecting iine until an
in5pectian has been made and such connection and the work incident thereto has 6een approved by the Ciry as a
proper and suitable connection.
40Z.06.REPAfRS AMD MA{NTENANCE TO CONNEC[ION
��p� _�____..,,�+„,+,o Water service cur6 stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the prapeRy Ifie for connection,the appt�cant,owner,
or the occupant or user of such premfses shall be liable far al)�epairs required to any water tine and sewer iines
necessary for connectian of the premises from the main to the p�emises. If the prop�tty owner re4uests
maintenance service or repairs be performed by the City,the properiy owner sha{I be charged far the co�ts of the
. maintenance and/ot repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shait be the responsihiiity of the aPP�i'cant,owner,ac�upant or user to pecForm standard main#enance af
• the sewer service(ine from the prernises to the main inciuding deioris clearing or root cutting and to maintain the
water service cur6 stop bax for operability and at such height as will ensure that it remains above Che finished _
,,,grade of�ti7�land or-�rvparty.-�Ref 635,�'��,-1#`��J _. .� . . ' .. .�. /