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Request Number: 9399
Public Works Division
5ervice Request
Problem Address: 6061 3rd St Requested By: Nicodemus
Department: WATER Address: No address provided
Problem/Lcsue: INSTALLAMRMETER PhoneNumber: 651-342-1331
Scheduled Date: 2014-11-07 Schedul ed Time: I 1:00:00
ACTION NEEDED:2014 ANIIt
Createdby: WendyHiatt DateCreated: 2014-11-06
ACTION TAI�N:
Old meter#14408779 Old reading:76 00 New meter#44922122 ERT#35159266
Status: Completed Resident Contacted C''
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Date Completed: 2014-11-07 Completed by: Joseph Katzung
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Request Number: 9399_
Public Works Division
Service Request
Problem Address: 6061 3rd St Requested By: Nicodemus
Department: WATER Address: No adcfiress provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-342-1331
�"�eb�eduled Date: 2014-11-07 �cheduled Time: 11:00:00
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ACTION NEEDED:2014 AMR
Creaxed by: Wendy Hiatt Date Created: 2014-11-06
ACTION TAI�N:
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Status: In Progress Resident Contacted L�
Date Completed: Completed by:
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� City of Fridley :
- , _ ., �INat�r Dppartm�nfi
.,. .. .. .......
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��y� herehy authorl:e the�ty of fridley and jor its
employees to do what is necessary to repiace the water meter. I urulerstand that d�e property owner
ic I�a61e far the ater(ine from the mai�to the premise and all interior plumbing. (Per Gty cade
4a2.06� I aiso fiold the Ciiy of Fridley and/it�employees harmless or any amages ma
whiie doing this aperation. This ta inc{ude,but not timited ta;va�ves�P�Pi�g�wa��s,floors or the curb
�top box and service line. i understand 1 am also required to obtain a Permrt Priorto any work,if
neces5ary.
Final meter reading�oid meter)
Name•
Address: �d�� ��� �-�;
Phone Number. Date: �f 7���
5ignature:
Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
_ AQMINtSTRATIQN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMI7 fEE �
4 Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hause
or building for which the applicatian is made,the owner or contractor st�all be requi�ed to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connectian has been
made,the 1Nater and 5ewer Department shall be notified. It sha[i he unlawful to caver any.cannecting line until an
in5pection has been made and such connection and the work incident thereto has been approved 6y the City as a
proper and suitable connection. �
402.06.REPAIRS AND MAtNTENANCE TO C�NNECTION
��Q�� —�.+n+ri+ko�atPi se�vice curh stap bax nr the sewer lead at the propert�
line or a water service or sewer lead has been e�ended to the propertyline for cannecbon,the applicant,owner,
or the occupant or user of such premises shal{be liable for all�epalrs reqaired to arry wate�line and sewer lines
necessary for connection of the premises from the main to the premises. If the propgtty owner requests
maintenance service or repairs be performed by the City,the properly awner shall be t�arged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate 5et annually by.an administrative
policy. lt shall be the responsihif'�ty of the app�icant,owner,uaupant or user ta perfarm standard maintenance af
the sewer service line from the premises to the main including debris ckaringor root cutting and to maintaln the
water service cur6 stop box for operability and at such height as will ensure that it remains above the�nished
. � � .. . .. . _ . .
:.`grade of�tf��iard or-�ropet�y.�(�tet 63$,1�5,-Z���� _. . . . _.