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Request Number: 9545
Public Works Division
Service Request
Problem Address: 5770 3rd St Requested By: Raymond Hegna
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-571-4042
Schedul ed Date: 2014-11-26 Schedul ed'1Time: 08:00;00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-25
ACTION TAI�N: �
Old meter#33836392 Old reading•070 50 Newmeter#44920887 ERT#35154311
Status: Completed Resident Contacted I°"`
DateCompteted: 2014-i1-26 Completedby: JosephKatzung
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Request Number: 9545
Pubfic Works Division
Service Request
Problem Address: 5770 3 St Requested By: Raymond Hegna
Department: WATER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-4042
5cheduled Date: 2014-11-26 � Scheduled Time: 08:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-25
ACTION TAI�N:
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Status: 1n Progress Resident Contacted �
Date Completed: Completed by:
��'vZ���Lt v�-��
- - City�f Fridley
- _.... Wat�r Depa��nt
.... :.. _,. w. .
� 6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1 jwe hereby authorize the tity af fridtey andior fts
employees to do what is necessary to replace the water meter, I�utderstand that the Praper�Y owner
�s liabie fer the water line from the main ta the premise and al)interior plum6ing. (PerCit}i code
402.06) 1 atsa fiold the Ciiy of Fridley and/its employees harmlessfor any aamages�naz mdy�.u�
while doing this operation. This tv indude,but nat limited to;vah►es,PiPing,wat�S►fl°°rs°�tfie arb
stop bnx and service line. I unders�nd I arn also r�quired tu obt�n a Pe�mi�Prior to any work,if
necessary. �
Final meter reading�oid meter) � �� S�� . �
Name: Address:
5"Z70 ��� ��'
Phone Number: �te, l 1 l�r � ___
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5i�nature: �
Wltness Signature:
FRIDLEY CITY CODE
CHppYER 4pL WATER,STDRM WATER,AND SANiTARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,629,638,662,gZ2.g8s�1144,1156,1191)
402.05.PERMIT FEE � •
� Prior to constructing or repair of any water or sewer line connecting the e�dsting municipal system and any hause
or 6uitding for which the application is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shall pay a permit fee as provided Pn Chapter 11 of this tbde. After such co�nection has been
made,the INater and Sewer Deparbnent shall be notified. It shaii be unhwful to cover any connecting Gne untii an
inspection has been made and such connection and the work incide�thereto has 6een approved 6y the C'ity as a
proper and suitab(e connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTiON
����� _�___�...,,,+;,th8 WatPr service curh stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended ta the propertylme for con�echon,the applicant,owner,
or the�ccupant or user of such premi�es shall be liable far all�epairs required to arry water line and sewe�lines
necessary for connection of the premfses from the main to the premise�. If the prop�tty owner requests
maintenance service or repairs be perfarmed by the City,the propetty awner shail be charged for the c�sts of the
maintenance and/or repairs, inciadirtg any necessary street repai�s,at a rdte set annually by.an administrative
policy. It shall 6e the responsihility af the applicant,owner,occupant c�user ta perFarm standard m�intenance of
the sewer service{ine from the prem�se5 to the main including debri�clearingor root cutting and to maintain the
water service tur6 stap box for operability and at such height as will ensure that it remains above the flnished .
_,,. .. � � _ . .. . . ._ .
.
. .._ ...._ ._. .. _.._ ... . .._. _.... ..._.
grade of tY��lar�d or�rap�rty.-(Ref 638,y�5,.t�n3 .� _