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Request Number: 9288
Public works Division
Service Request
Problem Address: 6030 3rd St Requested By: Todd Henrikson
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL t1MR ME1ER Phone Number: 763-571-9196
Scheduled Date: 2014-10-30 Scheduled Zime: 09:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-27
ACTTON TAI�N: ,
Old Meter No.18227816 Old Reading:3086 00 New Meter No.44921590 New Reading:0 ERT No.35172441
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Status: Completed
Date Completed: 2014-10-30
Hours
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Public Works Division
Service Request
Problem Address: 6030 3rd St Requested By: Todd Henrikson
Department: WATER Address: No address provided " ""
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-9196
ScheduledD te: 2014-10-30 ScheduledTime: 09:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-27
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Com eted by:
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- City of Fridley
-. : :,> V�lat?r Department : . , . .. _,.... . �. .,
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6431 University Avenue NE �
Fridley,MN 55432
(763)572-3566
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i/we hereby authorize the�fil��dtey andJor its
empioyees to do what is necessary to replace the vuater meter. 1 wtde►stand that the property owner
is lia6le for the water(ine from the main to the premise and all interior plumbing. (Per Gty code
40Z.Q6) !also hold the Gty of Fridley and/its empioyees harmless r any amages �may�o -
while doing this operation. This to include,but nat limited ta;valves►P�Ping,walls,floors or the curU
stap bax and service fine. f un�erstand f am alsa required to abta�n a permit priur 1�anY'M►ork,if
necessary. �
Final meter readin old meter ��
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. I��` c�`�
Name• Address:,.,,�
Phone Number: Date:���
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Signature•
Witness Signature:
FRiDf.EY CiTY C�DE
CHAPTER 402.WA7ER,STORM WATER,AND�1NITARY SEWER
ADMINISTRATION
� (Ref Ord Na 113,464,565,566,629,638,fi62,922,988,1144,1156,1191)
40Z.05.PERMtT FEE
Prior to constructing or repair uf any water or sewer line connectingthe existing municipal system and any house
or 6uilding for which the application is made,the owner or cantractor st�all be required to abtain a petmit for such
connettian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectian has been
made,the 1Nater and Sewer Department shail be natified. it shall be unlawful to cover any connecting line until an
lnspection has been made and su�h connecCian and the wark incident thereta has been approved by the City as a
properand suitable connection.
402.06.REPAIRS AND MAIN7ENANCE TO CONNECfION
, �qQ..ia��qertinn his nPPn made tr,the water service cur6 stop bnx or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the appli�nt,owner,
or the�ccupant or user af such premises shafl be{iab{e for aN�epairs required to any water ifie and sewer lines
necessary far connectian af the premises from the main ta the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the City,the property owner shall be d�arged for the costs of the
. maintenance and/or repairs, in�luding any necessary street repairs,at a rate 5et annua{{y by an adminf�trattve
po(icy. It shatl be the responsi6'rlity af the applicant,owner,occupant or user to pe�form standard maintenance of
• the sewer service line from the premises to the main including debrisclearingflr roat cutting and to maintaln th�
water service cur6 stap box for operability and.at such height as wi�ensure that it remains above the finisfied
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grade of�tiie land or-prop��.y.��Re`fi3�,1.�5,_t�.93:� .. . .� . .. . . .