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Request Number: 9533
Public Works Division
Service Request
Problem Address: 5760 3 St Requested By: Kathleen Bergstrom
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-4379
Scheduled Date: 2014-12-03 Scheduled'ISme: 02:30:00
ACTION NEEDED:Install AMR
Created by: Ju1ie Horak Date Created: 2014-11-24
ACITON TAI�N: �
Old meter#19759112 Old reading 182 10 New meter#44921524 ERT#35159303
Status: Completed Resident Contacted ["
Date Completed: 2014-12-03 Completed by: Joseph Katzung,
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Request Number: 9533
Public Works Division
Service Request
Problem Address: 5760 3 St Requested By: Kathleen Bergstrom
Department: WATER A,ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-205-4379
Scheduled Date: 2014-12-03 Scheduled'Iime: 02:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-24
ACTION TAI�N:
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Status: In Progress Resident Contacted C1
Date Completed: Completed by:
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• City of Fridley
_ _-... �Ilat.�r DpQartmen�
.... :. _: .,...._.
6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
��We 6ereby authorize the�t11��dtey and/or its
employees to do what is necessary to repfaee the water meter. �����a��e RfORe�°�er
ater tine fram the main ta the premise and all int�rior plum6tag. (Per CitY code
402,06) 1 also hold the Gty of Fridley andi'rts etnploYees harn+tess ar any amages a may
while doing this aperatien. Tfiis ta include,but nat timited to;valres�Piping,walis�floors or the curb
stap box and senrice line. I underst�and I am also required to�n a P��it prior to any work,ifi
, neces5ary. �
Final meter reading{old meter) i���0 .
Name• Address•
�' 7/ �, � �-d' S-F;
PhoneNumber. _ - _ Date: `��}�
� ;
5ignature.
- Witness Signature:
FRIDI.EY CITY CODE
CHAPTER�IOZ.WATER,STORM WATER,AIdD SANITARY SEWER >
. ADMiNiSTRATION �
(Ref Ord No 113�4b4,565,566,629,538,662,922,988,1144,1156,1191)
4Q2.05.PERMIT FEE
� Priur to canshvcting or repair of any water ar sewer line connecting the existing municipal system and arry house
or building far which the applicatian is made,the owner or contrackor shail be required to obtain a permit far such
connection,and shal!pay a permft fee as provided fn�hapter 11 ofthis Code. After such connection has been
made,the Water and Sewer Department shaff be notified. It sha{i be unlawtul to cover any connecting line until an
inspectian has been made and such connecdon and the work incident thereta has 6een app�nved by the City as a
proper and suitabfe connect{on.
402.dG.REPAIRS AND MAINTENANCE TO CONNECTION
��q�� _- ,, +n,�,a WarPr service curh stou box or the sewer{ead at the propert�
lioe ora water service or sewer fead has been extended to the propertyime for connectton,the appl�cant�uwner,
or the�ccupant or user of 5uch premises shat4 be liable for all fepain required ta any water line and sewer lines
necessary for cannection of the prem9ses from the maln to the premises. If the prop�+owner requests
rnaintenance service or repairs 6e performed by the City,the prpperty owner shalt be charged for the costs of the
ma9ntenance and/ar repairs, including any neces�ary street repairs,at a rate set annual{y by.an admin{strative
poticy. !t shall be the responsi6ii'rty uf the appliCant,awner,occupant ar user to perForm standard maintenance of
the sewer service line from the premises ta the main including de6ris clearingor raat cutting and to maintaln the
- _ . , __ . .. .. .--- .�..... ..
water service curb�top box for aperability and at such height as will ensure that it remains above the finishe
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