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Request Num�er: 8521
Public Works Division
Service Request
Problem Address: 6731 2nd St Requested By: Curtis Triplett
Department: WATER Address: No addresa provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 571-5637
Scheduled Date: 2014-07-22 Scheduled'Iime: 07:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-21
ACTION TAI�N:
Old meter# 17233033 Old reading:83 70 Newmeter#44921417 ERT#35172Q22
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Status: Completed Resident Coatacted 1""
Date Completed: 2014-07-22 Completed by: Ryan Johnson
Hours
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Request Number: 8521
Public Works Division
5ervice Request
Problem Address: 6731 2nd St Requested By: Curtis Triplett
Department: WATER Address: No address provided
ProblemlLcsue: INSTALL AMR METER Phone Number: 571-5637
5cheduled Date: 2014-07-22 5cheduled Ti�e: 07:00:00
n 1
ACTION NEEDED:2014 A1vIR.
Created by: Wendy Hiatt Date Created: 2014-07-21
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple by:
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�22
- City af Fridley _.
. --. Water Department .. =.. .
6431 UniversityAvenus NE-
Fridiey,MN 55432
(763)572-3566
�/we hereby autharize the Ctt1►of Fridiey and/or its
ernployees to do what is necessary to replace the water meter. t understand that the property owne�
is liable�for the water line ftom the main to the premise and al{interior plumbing. (Per City code
40Z.06) I also hold the Gty of Fridley and/its employees harm{ess for any damages that may occur
while doing this aperatio�. This ta inc{ude,but not limited ta;va{ves,t�p��B.����►���a����+rb
stap box and service line. !understand t am also required to obtain a perrnit prior to any work,if
necessary. -
Final meter reading(old meter) ��� �� �
Name: Addrea: VJ L �� �� ,
Phone Number. Date: �'����� ` � -_
. ��!
Signature:
Witness Signature:
FRIDL�Y'GTY CODE
C ER 402.WATER,STORM WATER,AND SANlTARY SEWER
ADMINISTRI0.110N
(Ref Ord No 113,464,565,56fi,629,638,662,922,988,1144,1156,1191)
402.Q5.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or buitding for which the applicatian is made,the owner or cantractor shalf be required to obtain a permit for such
connection,and shaff pay a permit fee as provided in Cfiapter 11 of this Code. Afte�such cannection has been
made,the Water and Sewer Department sha11 be notified. It sha{I be unlawful t�cover any cannecting{ine until a�►
inspectian has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable wnnection.
4U2.06.REPAIRS AND MAINTENANCE�'O CONNECiIOW
After the initial connection has been made to the water service curb stop box or the sewer fead at the property
line or a water service ar sewer tead has been extended to the properry Iine fo�c,onnectton,th¢applicant,owner,
or the occupant or user of such premises shall be liable for all�epatrs required tv any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, in�uding any necessary street repairs,at a rate set annualfy byan administrative
pulicy. {t shall be the responsi6ifity of the appiicant,owner,occupant or user to perfatm�tand�rd maintenance of
• the sewer senrice line fram the premises ta the main inciuding dehris ctearing or root cutting and to maintain the
water setvice curb stop bax for operability and at such height as wil!ensure that it rema9ns above the finished
grade of the land or property. (Ref 638,1156,1191)