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Request Number: 9276
Public Works Division
Service Request
Problem Address: 6041 3rd St Requested By: John Early
Department: WATER Addreas: No address provided
ProblemfIssue: INSTALL AMIt ME'IER Phone Number: 571-9294
Scheduled Date: 2014-10-28 Scheduled 13me: 11:30:00
ACTTON NEEDED:2014 AMIZ
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
Old meter#29611336 Old reading: 15 90 New meter#44921061 ERT#35172343
Status: Completed Resident Contacted I'!
Date Completed: 2014-10-28 Completed by: Ryan Johnson
Hours
30�►
_ __ _ _ . . ��q����-l�d��nb���: 9276 , .
Public Works Division
Service Request
Problem Address: 6041 3rd St Requested By: John Early
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-9294
Scheduled Date: 2014-10-28 Scheduled Time: 11:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTTON TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Complete by:
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' � City of Fridley
_ _ ._, W�ttnr Department _ .. _ ,.__ _. ,.:
. . ._ .. _ .�.....
6431 University Aveoue NE
Fridley,MN 55432
(763)57Z-3565
!/we hereby authorize the t�h►of�id�e11 andjo�r its
employees to do whaC is netessary ta replace the water meter. t understand that the property awner
�liable for the water tine from the main to the premise and all interior plumbing. (Per aty code
402.06) i alsa hold the City of 6ridtey and/its emp{oyees fiarmless r any amages a ma �"
while doing this opera�ion. This to include,but nat fimited tn;vaWes,pipi�g,wa�fs�floors or the curb
stop bax and service line. i understand i am al�o required to ohtafn a permit prior to any work,if
necessary.
Final meter reading(old met�r) '� " � � `'�
, �� d �
Name• Address:_,�,E'� � --
Phone Number. Date: v r ��
Signature:
Witness Signature:
FRIDLEY CITY CODE
402.WATER,STORM WATER,AND SANlTARY SEW�R
ADMINlSTRATION
(Ref Ord Na�.13,464,565,566,629,638,66Z,922,988,1144,1156,1191}
4t)2.05.PERMIT FEE
Prior to consiructing or repair af any water or sewer line connecting the e�dsting municipal system and any house
or building for which the application is made,the owner or cantractur shall be required to obtain a petmit for such
connettian,and shall pay a permit fee as pravided in Chapter 11 af this Code.After such cannettian has been
made,the iNater and Sewer Department shal!be notified. !t shall be un4awful to cover any connecting tine until an
inspectian has been made and such connection and the wark incidenC thereto has 6een approved by the City as a
properand suitabte connection.
A02.06.REPAIRS AND MAINTENANCE TO CE?NNECTlON
�.�p���p����y,b�n made to the water service curh siou bax or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for cannection,the appticant,owner,
or the occupant or user af�uch premises shaN be liable for alf�epairs required to any water tine and sewer lines
necessary for connedion of the premise5 from the main ta the premises. if the prop�tty awner requests
maintenance servite or repairs be performed by the Cfty,the property owner shalt be charged for the costs of the
. maintenance andJ�r repairs� induding any ne�essary street repairs,at a rate set annualty by.an adminirnative
poticy. It shail be the responsibiliry of the appiicant,awner,occupant or user ta Rerfarm standard maintenance af
� the sewer service line from the premises ta the main incfuding debrisciearingor root cutting and to maintain the
� water senrice curb stop box for operability and at such height as wiil ensure that it remains above the finished
„'grade ofi�t��e lard or�rdp�t�y.�{Re�635,3.�5�,_1�n�:� .. ,