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Request Number: 9508
Public Works Division
Service Request
Problem Address: 5917-2nd St Requested By: Doug Jarosh
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2872
Scheduled Date: 2014-i 1-24 Scheduled 15me: 01:00:00
ACTION NEEDED:AMR install-Please enter through alley in back per owner
Created by: Cheryl Pellegrin Date Created: 2014-11-19
ACTION TAI�N: �
Old meter# 18124861 Old reading•45 00 New meter#44920881 ERT#35158965
Status: Completed Resident Contacted 1"'
Date Completed: 2014-11-24 Completed by: Joseph Katzung
Hours
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Request Number: 9508
PubHc Works I?ivision
Service Request
Problem Address: 5917-2nd St Requested By: Doug Jarosh
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2872
ScheduledDate: �2014-11-24 Sched�'Iime: Q1:OQ:00
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ACTION NEEDED:AMR install-Please enter through alley in back per owner
Created by: Cheryl Pellegrin Date Created: 2014-11-19
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 Department
6431 University Avenue NE 4 �
Fridley,MN 55432
(763)57Z-�566
Iiwe hereby authorize the tity of fridley and/or its
employees to do what is necessary to replace the water meter, I understand that the property awner
Is liable for the water fine from the main to the premise and at{interi�r ptu�+bing. (4'ec Gt�l code
402.06) I alsa hold the City of Fridley and/it�empioyees harmlessfor any damages tnac may occur-
while doing this aperation. This to inclade,but not timited to;va�ves►P�ping,wall��floors or the curb
stop box and service tine. I understand I am also required to ohtain a tmrmit Prior to any work,if
neces�ary.
Final meter reading(old meter) ``� � [�
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Name• Address• ��7 ay� �'
Phone Number: Date:_"�a�lr�
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Signature• �
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Witness 5ignature: .
FRIDLEY GTY CODE
CHppTER 402.WATER,STORM WATER,AND SANt'fARY SEWER
�►DMINiSTRATIUN
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,11�,1156,1191)
40Z.05.PERMIT FEE �
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
or buiiding fnr which the application is made,the owner or contractor shall be required to obtain a perrnit for such
co�rtection,and shall pay a.permit fee as pruvided in Chapte�11 of thi�Code. After such cannection has been
made,the INater and Sewer Department shaU be notifled. It shatl he unlawful to caver any�onnecting line�nti{an
inspection has been made and such connection and the work incident thereta has been approved by the Gry as a
proper and suitable connection.
402.Q6.REPAIRS AND MAINTENANCE TQ CONNEC(I�N
���p�. _�___�..,,,,..,,,�,o�.�ater service curh stap bux ar the sewer lead at the propert�
line or a water senrice or sewer lead has been extended to the property line for connecfion,tfie appl�cant�ownec,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
neces5ary for connection of the prernises from the main to the premise�. If the prope[ty awner requests
maintenante senrice or repairs be performed by the City,the property owner shall be tharged far the c�sts of the
. maintenance and/or repairs, inciuding any necessary street repair�,at a rate set annuaily by.an administrative
poticy. it shall be the responsihility of the appticant,awner,accupant a�user to perform standard maintenance af
• the sewer service line from the premises to the main including de6ris clearing or roat cutti�g and to maintain the
water service curh stup box for operabifity and at such height as wilt er+sus�that it remains abave the finished
. . . . . - _.
<:,grade ditii�lar�d or-�ropErty.�jReF 630,-1�55,.1.�93:� _.. . .� . . . . .