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Request Number: 8499 _-
Public Works Divisian
Service Request
Problem Address: 6730 2nd St Requested By: Shane Stockton
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-402-1772
Scheduled Date: 2014-07-25 Scheduled'Iime: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-17
ACTION TAI�N:
Old meter#36421702 Old reading 010 180 New meter#S�me Inass body'�RT��5172115
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Status: Completed Resident Contacted 1-
Date Completed: 2014-07-25 Completed by: Ryan Johnson
Hours
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City of Fridley
water Department
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Name ,S�,s..cl ,•� ��.5--'�
Date 7 '' J d "� �
Old Meter Number 6� d '�"jb d �
Old Meter Reading T7 �
Replacement No.�� t�� �-I'Z� �--
Replacement Reading �
Replacement Make i,s�s..�✓
Remarks: ��'���y /h�i�1.r�
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Signed
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Request Number: 8499
Public Works Division
Service Request
Problem A�ddress: 6730 2nd St Requested By: Shane Stockton
Department: WATER Address: No address provided
Problemilssue: INSTALLAMR METER Phone Number: 651-402-1772
Scheduled Date: 201407-25 Scheduled Time: 10:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-17
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple d by:
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- City of Fridley _
. . --. Water Department ..... =.. .
6431 University Avenue NE�
Fridley,MN 55432
_ _ _ _ (Zf3�S72-3556. __
IJwe hereby authortze the C�ty of Fridley andJor its
employees to do what is necessary to replace the water meter. I understand that the property awner
is liable for the water line from the main to the premtse and alt inte�iar piumbing. (Per�ity code
402.06) i also hold the Gty af Fridley andJit�employees harmless for any damages that may occur
while doing this operatian. 7his to include,but not limlted to;va�ves,pipin�wails,floors or the curb
stap box and service line. I understand I am also required to obtain a permit prior to any worfc,if
necessary.
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Final meter reading(old meter)
Name• Address• � t � E�� ��
Phooe Nurober: Date: �A���` `
Signature:
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Witness Signature:
� FRIDLEY GTY CODE
CHARTE 402.WA7ER,STORM WATER,AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.05.PERMR FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the applicaCion is made,the owner or contractor shall be required to obtafn a permit for such
connectton,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Vltater and Sewer Department shatf be notified. It shatt be unlawful to cover any connecting line until an
inspection has been made and such connection and the wark inddent thereto has been approved by the City as a
:
propes and suitable connectian.
402.06.REPAtRS AND MAINTENANCE TQ CONNECTION
After the initial canneckion has bee�made to the water service curb stop box or the sewer lead at the praperry
line or a water seivice o�sewer lead has been extended to the property line for connecdon,the appilcant,owner,
ar the occupant or user of such premises shall be liable for all�epaln required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop�tty owner requ�sts `
maintenance service or repairs be performed by the City,the property awner shall be charged for the casts of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by an administrative
pviicy. It shall be the responsi6ility of the applicant,owner,occupant or user to pe�fnrm standard mair�tenance of
� the sewer service 11ne from the premises ta the main including dehris clearing or roat cutting and to maintain the
uht��o�ro M��h�r��hnX fnr r,nera6ilitv and at such heiRht as will ensure that it remains above the flnished