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Request Number: 9422
Public Works Division
Service Request
Problem Address: 5817 2 1/2 5t Requested By: Viola Pfeiffer
Department: WATER Address: No address provicied
Problem(Issue: INSTALL AMR METER Phone Number: 571-3699
Scheduled Date: 2014-11-13 Sc6eduled Time: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTTON TAI�N: �
Old meter#9�132381 Old readin :078 30 Newmeter#44921485 ERT#35171721
Status: Completed Resident Contacted C""
Date Completed: 2014-11-13 Completed by: Joseph Kata�mg
Hours
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Request Number: 9422
Public Works Division
Service Request
ProblemAddress: 581721/2St RequestedBy: VolaPfeiffer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3699
5cheduled Date: 2014-11-13 Scheduled 1ime: 02:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTION TAI�N:
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Status: Tn Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
_ _ __.., �►lat?r Departm�nt . :. _, ......
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authar[ze�e�iy of Fridtey and/or its
employees to do what is necessary to replace the watar meter. t wtider�tand that the propertl►owner
e ater I�ne from the main to the premise and aq interior plumbing. (Per Gty code
402.p6� 1 alsa fiold the City af Fridley andjits emPloYees harmless or any amaBes a ma
white doing this aperation. 'fhis ta indude,but nat licnited to;valves�PipY�B����s�floors or the curb
stop box and service line. i understand i arn also required to obtai�a Permit Priorto any worlc,if
nece�sary.
Ffnai meter reading(old meter) a � � .
Name•
Address: �"5� 1^7 v? ���2 .5-�-
Fhnne Number: Date. < < '�j[�y —
5ignature:
Witness Signature:
FRIDLEY CiTY CODE
CHppTER eW2.WATER,STORM WATER►ANQ SANITARY SEWER
ADMINiSTRATit1N
(Ref Ord No 113,464,565,556,6�9,638,fi62,922,988,1144,1156,1191)
402.05.PERMIT FEE �
� Prior to constructing or repalr of any wrater or sewer line connectingthe eydsting mu�ic9pal system and any hause
or building for which the appliption is made�the owner or contractor shali be required to obtafn a permit for such
connectian,and shal)pay a permit fee as provided in Chapte�ii af this Code. After such connectian has been
made,the iNater and Sewer Department shall be notifiied. it shati be unlawfui to cover any cannecting Une untit an
inspection has been made and such connection and the work incident thereto has 6een approved by the Ctty as a
properand suitable connection.
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402.a6,REPAIRS AND MAINTENANCE TO CONNECiiON
� ��p� . __�___�...as+��,a warPr service curh stop bnx or the sewer lead at the propert�
line or a waCer service or sewer lead has 6een extended to the property+ime for connechon,the applicant�owner,
or the�ccupant or user of such premises shatl be tiable far al(�epairs required to any wate�line and sewer lines
necessary for connection of the premises from the main to the premises. If the propQ[ty owner requests
maintenance service or repairs be perfarmed by the�ty�the property awaer shall be charged for the costs of the
maintenance a�d(or repairs, induding any neces�ary street repairs,at a rate set annual{y by.an adminfstradve
poticy. tt shatl be the responsibi�itY af the appti�ant,owner,naupant�user to perForm standard maintenance of
the sewer service line from the premises to the main inciuding debri�clearing or root cuttinB and to maintain the
- water service curb stop box for operabilitY and at such height as will ensure that it remains abave the finished
.. . .. . . ._
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<,.grad"e.'of tf��iarid ar-property.�(Re►63o,-1�5,-t�J3: ..