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Request Number: 9534
Public Works Division
Service Request
Problem Address: 5831 3 St Requested By: Orlin Peterson
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR ME1ER Phone Number: 763-571-2518
Scheduled Date: 2014-12-08 Scheduled Time: 0230:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-24
ACTION TAI�N: �
Old meter#17651185 Old reading: 114 20 New meter#44921532 ERT#35159176
Status: Completed Resident Contacted C"
Date Completed: 2014-12-08 Completed by: JosephKatzung
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Request Number: 9534
Public Works Division
Service Request
Problem Address: 5831 3 St Requested By: Orlin Peterson
Department: WATER Address: No address provided
� Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2518
Scheduled Date: 2014-12-08 Scheduled T➢me: 02:30:00
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ACTION NEEDED:Install AMR
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Created by: Julie Horak Date Created: 2014-11-24
ACTION TAI�N:
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5tatus: 1n Progress Resident Contacted C�
Date Completed: Completed by: .
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- City of Fridley
- _. _;.... Wat�r Dppaittrn�nfi "
6431 University Avenue NE �
Fridley,MN 55432
(763�572-3566
I/we hereby authori:e�e�tN oi Frid{ey and/ar its
employees to do what is necassary to replace the water meter. I widerstand that the propertY owne�'
is liable far the water line fram the maie t8 the premise and al�inter�or plumbing. (Per Cfiy code
402.86) 1 alsa fiold the Ciiy of Fridfey and/its empfoyees harm�5 a�any amages ma �
while doing this aperation. This to indude,but not limited ta;vaive�►P�P'ng►���s,floars or the wrb
stap 6ox and service line. 1 understand i am also required to obtain a Permit prior to any work,if
nece�ary. •
Final meter reading(old meter) �`���a'�
�e. Address• 5J5�31 3 5�'�"•
Phone Number: Date:!�.L�!��
�' '�` ��.�1��-°-��'�
Signature�, /I ./�
Wttness 5ignature: � � � "
FRIDLEY q7Y CODE
�{Ap�R 402.WATER,STORM WATER►IWD SANiTARY SEWER
ADMINISTRATION �
(Ref Ord N�113,464,565,556,629,638t 662,92Z�g$8�1144,1556,1191)
4Q2.p5.PERMlT FEE -
Prior to constructing ar repair of any water or sewer line cannectingthe e3asting municipat system and any house
or building for which the application is made,the owner or contractar shall be required ta obtain a permit for such
connection,and shall pay a permft fee as provided in Chapte�11 of this Code. �►fter such connection has been
made,the 1Nater and Sewer Deparhnent shali be notified. It shal)6e unlawful to cover any conne�ting Gne uritil an
inspection has been made and such connection and the work incide�rt thereto has been approved by the Gty as a
proper and suitabfe connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECfION
��A�� _ ___�..,,,,�..�tio Warpr cervice curh staa bax or the sewer lead at the propert�
line or a water service nr sewer fead fias been extended to the propenytine fa�cannechon�the applicant�owner,
or the occupant or user of such premises 5ha11 be liable for al{repain required to airy water line and sewe�lines
necessary for connection of the premises from the main ta the premises. ff the prop�[ty owner requests
maintenance senrice ar repairs be performed by the City,the property awner shall be charged for the c�.sts of the
maintenance and/or repairs, including any neces�ary street repairs,at a rate set annuaily by.an adminislrative
policy. It shail be th�responsihif'�ty af the applicat►t,awne�,accupanto�use�to per�arm standard mafntenance of
• the sewer service line from the premises to the main including de6ri�clear9ng or soot cutting and tn malntaia the
water service curh stop bnx far aperability and at such height as will ensure that it remains abave the Bnished . '
:,•grade of"tti�la�d or•prape�iy.�(Aea 658,-��5,.t�9�:) _. . .._ ..._ . . . .. _:.._ - � . _._. _:. _..