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Request Number: 8369
Public Works Division
Service Request
Problem A�ddress: 6710 2nd St Requested By: Cecelia Berg
Department: WATER Address: No address provided
Probleml�sue: INSTALLAMR METER Phone Number: 651-283-5386
Scheduled Date: 201407-11 Scheduled Time: 01:30:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-OS
ACTION TAKEN:
Old meter#82140730 Old reading: 271 0 New meter#44921198 ERT#35159497
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Status: Completed Resident Contacted O
Date Completed: 2014d7-11 Completed by: Ryan Johnson
Hours
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Req uest N u m ber: 8369
Public Wbrks Division
Service Request
Problem Address: 6710 2nd St Requested By: Cecelia Berg
Department: WATER �kldress: No address provided
Problemllssue: 1NSTALLAMR METER Phone Number: 651-283-5386
Scheduled Date: 2014-07-11 _Scheduled Time: 01:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-08
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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. - City of Fridiey _ _
__. Water Department .. _.. �
6431 Unive�tty Avenue NE�
Fridley,MN 55432
(763)572-3566
�/w� hereby authorize the Gty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interiar plumbing. (Per qty c4de
402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inctude,6ut not limited to;va�ves.piPing,vualts,floors or the curb
stop box and service line. t understand 1 am alsa requtred to obtain a permit pNor tfl any work,if
necessary.
Final meter reading(old meter) � ��
Name: Address: �2 / �� � ��
Phone Number Date• t������
Signature�
Witness Signature:
� FRIDLEY CITY C4DE
CHAPTER 402.WATER,STORM WA'tER,AND SANITARY SEWER
ADM{NfSTRATION �
(Ref�rd No 113,464,565,566,629,638,662,922,988,1144t 1156,1141)
402.05.PERMIT�EE �
Prior ta canstructing or repair of any water ar sewer line cannecting the existtng municipat system and any hout.e
or building for which the applicatian is made,the owner or contractor shall be required ta obtain a permit for such
connection,and shall pay a pe�mit fee as provided in Ghapter 11 of this Code. After such connection has been
made,the Water and Sewer Department sha11 be notified. ft shaN be uniawful to cover any cannecting{ine until an
inspection has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
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402.06,REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water service curb stop bnx or the sewer lead at the property
line ar a water service or sewer lead has been e�ttended to the property line for connectlon,the appliant,owner,
. or the occupant or user of such premises shall be liable for all repairs requued to any water line and sewer lines
necessary far connection of the premises from the main ta the premises. if the prop�[ty owner requesis
maintenance service or repairs be performed by the Ciry,the property owner shali be cha�ged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annualfy by an admtnistrative
policy. It shal{be the responsibil'�ty uf the applicant,owner,occupant or user to pertorm�tandard main#enance of
� the sewer senrice line from the premises to the main inciuding debris elearing or root cutting and to maintain the
water setvice curb stop box for operability and at such height as w(II ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)