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Request Number: 9547
Public Works Division
Service Request
Problem Address: 5840 3rd St Requested By: Xiu Zhou
Department: WATER Address: No address provid�ed
Problem/Issue: INSTALL AMR METER Phone Number: ?63-586-5707
Scheduled Date: 2014-12-02 Scheduled 1ime: 10:30:00
ACTION NEEDED:2014 ANIIt
Created by: Wendy Hiatt Date Created: 2014-11-25
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ACTION TAKEN: � '
Old meter 3 14723879 Old readin 294 20 Newmeter`�4921528 ERT#3�58974
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Status: Completed Resident Contacted I""`
Date Completed: 2014-12-02 Completed by: Joseph Katzung
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Request Number: 9547
Public Works Division
Service Request
Problem Address: 5840 3rd St Requested By: Xiu Zhou
Department: WATER Address: No address provided
ProblemlIssue; INSTALL AMR METER Phone Number: 763-586-5707
Scheduled Date: 2Q 4-12-02 _ _/ Scheduled Tima: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: WendyHiatt Date Created: 2014-11-25
ACTION TAI�N:
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Status: In Progress Resident Cont�cted I�
Date Completed: Completed by:
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� - City+of Fridley
- _ _. . Wat!�r Dppa�-trr�enfi "
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6431 University Avenue NE �
Fridfey�MN 55432
(763j 572-3566
I/we hereby autho�ize the UfY��dl�and/ar its
employee�to do what is r�cessary ta rep{ace the water meter, I under�tand that the property oNmer
�liahle for the wat�r line from the main to the premise and al)interiar plum6ing. (Per CitY code
402.�) i alsa hQld the Crty of Fridley and/its employees harmlessfor any darnages tnai maY occur�
while doing th�s aperation. This to 9ndude.but not limit�d to;vah►es�PiP�ng,wa�is�fl°Drs or the wrb
�top box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. �
final meter reading(old meter) � G � . �
`> `,;� �� TJ�`�
Name: Address: . .
Phone Number: qate�������--------
Signaivre• - �
r.
1Nitness Signature: '
FRIDLEY GTY CODE
CHAPTER 40L WA'TER,STORM WATER,AN[l SANITARY SEINER
AdMINISTRATIUN �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,115b,1191)
4Qz.05.PERMIT EEE �
� prior to constructing or repair of any water or sewer iine connecting the e�tisting municipat system and any hnuse
or buiiding far which the application is made,the owner ar contractar shall be required to obtain a permit for wch
cannection,and shat{pay a permit fee as provided in Chapte�11 of�is fnde. After such cannectian has been
made,t�e Water and 5ewec Department shail be natified. It shall be unlawful to cover any connecttng line until an
inspectian has been made and such connection and the work incider�thereto has been approved by the Gry a5 a
proper and su'rtable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtUN
-A�er-tW�-iaik�l.-...�...2;'-_ ` -�----"
�,-��R ri�nRsla=.s�••r,��.�ed¢�A�ate�5C(VICB CUI'b SfOp b0%UI'tFl@ 58W8f I@ad 8t tI12 pfOp2ft�
line or a water servtce or sewer lead has been extended to the propertyline far connechon+the applicanG owner,
or the occi�pant or user of such premises shall be liabte for alf repair�required ta arry water line and sewer lines
necessary for connection of the premises from the main to th�premi�et. tf the prope[ty owner tequests
maintenance service or repairs be perfarmed 6y tfie City,the propettp owner shall be charged for the c4sts of the
maintenance and/o�repairs, induding any neoessary street repairs,at a rate set annuaUy by.an adminlstrative
po(icy. lt shal!be the responsi6ility of the applicant,awner,aaupant or user ta perform standard maintenance of
• the sewer service line Trom the premises to the main incfuding debri�clearingor root cutting and to maintain the
� water service curh stnp bnx for operabifity and at such height as wiN ensure that it remains above the finished
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"�grade of tii�lard or�rop�rty.�(Aet 6�5,Z�S,.t�93:) _. ._ . . . ._ � ..-.-