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Request Number: 9489
Public Works Division
, Service Request
Problem Address: 6035 2 St Requested By: James Wa11
Department: WATER Address: No ac�h'ess provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 651-707-6255
Scheduled Date: 2014-i 1-20 Scheduled Time: 11:30:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-17
ACTION TAKEN:
Old meter#86453079 Old reading: 1859 70 New meter#44920882 ERT#351 9622
Status: Completed Resident Contacted 1"'
Date Completed: 2014-11-20 Completed by: Joseph Katzung
Hours
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Request Number: 9489
PubHc Works Division
Service Request
Problem Address: 6035 2 St Requested By: James Wall
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Namber: 651-707-6255
ScheduledDat : 2014-11-20 SchedWedTime: 11:30:00
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i
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-17
ACTION TAI�N:
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Status: 1n Progress Resident Contacted ❑
Date Completed: Completed by:
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t • City of Fridley
- ..., WatPr Department
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6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566 ,
1/we hereby autharize the t�h►���fey and/or it�
employees to do what is necessary ta repiace the water meter. i understand that the pro�rty owner
is liah{e for the water line from the main to the premise and ai{interior plumbtng. (Per Gty code
4�2.�) !atsa hold the aty of Fridley and/its employees harmlessfor any damages inat may�-
while daing this operation. This tv i�lude,but nat timited ta;+ralves,piping,walts,floors or the curb
�tap box and service line. I understand i am also required to oht�n a Permit prior ta any work,if
necessary.
Flnal meter reading(old meteri1� � [ �7��
Name•
Address• �O 3 S" �''� ��'
P6one Num6erc_ Date• ���D��Jy
. �
Signature: -
�
W9tness 5ignatu e:
, FRIDLEY CI7Y GODE
CHAPf ER 402.WATER�S�ORM WATERr AND SAIVITARY SEWE4�
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638t 662,922,988,114A�,1S56,1191)
402.05.PERMIT FEE �
Prior to constructing oc repair of any water or sewer tine connecting the existing municipal system and any hause
or building fnr which the application is made,the owner or contractor shaii be required to obtain a petmit for such
conrrection,and shall pay a permit fee as pravided in Chapte�11 of this Code. After such cannedian has 6een
made,the Water and Sewer Department shatl be notffted. It shall be unlawful to cover any connecting line until an
Inspection has been made and such connecCion and the work incident thereto hasbeen approved by the C'ity as a
proper and suitabte�onnection.
40Z.06.REPAIRS AND MAINTENANCE TQ CONNECTIQN ' �i;
���b�Q�����_ _ -.__�_�....;..,,.,�+er service cuch stou bnx ar the sewer lead at the propert�
line or a water servite or sewer lead has 6een extended to the propertyline for connection,the appticant,owner,
or the occupant or user uf such premise5 shalf be liable for at{�epairs required to any wate�fine and sewer(ines
necessary for connection of the prernises from the main to the premises. If the prop�ttyr owner requests
maintenaace service or repairs be pe�formed by the City,the property owner shall be charged for the casts of the
. maintenance and/ar repairs, induding any necessary street repair�,at a rate set annual{y by.an administrative
poticy, ft shali be the respansibifity of the apP�icant,awner,ac�.+pant or user to perForm standard maintenance af
• the sewer service fine from the premises t�the main including debris clearing or root cutting and Co maintain the
water service cur6 stap box for o_erabili and at such height as wiN ensur�that it rema9ns above tfie finished
p ty. . , . .. ._ . .--- � ---
. _.
",grade�f�t'ne land or�rop�tty.�iRef 63'�,ti�55,-ti���J _. .. . . . .