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Re uest Nu�6ea 8488
9
Public Works Division
Service Request
Problem Address: 65-61 1/2 Way Requested By: Steve Willman
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR MET'ER Phone Number: c-612-387-8551
Scheduled Date: 2014-07-25 Scheduled'Iime: 01:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-16
ACTION TAKEN:
Old meter#35048620 Old reading:0186 90 Newmeter#Seme Brass Body ERT#35159413
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St�tus: Completed Resident Contacted I'"
Date Completed: 2014-07-25 Completed by: Ryan Johnson
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City of Fridley
Water Department
Address � ����_�,____�/'� -
Name ���/ ��'!+�d�.1.�-
Date J '���"' � �
Old Meter Number -/ / (.� � --
Old Meter Reading S � .�
Replacement No. 7"���
Replacement Reading d
Replacement Make �{'��-.._.
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Request Number: 8488
Public Works Division
Service Request
Problem Address: 65-61 1/2 Way Requested By: Steve Willman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: c-612-387-8551
Scheduled Date: 2014-07-25 Scheduled Time: 01:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-47-16
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete b :
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_ - City of Fridiey _
. . --: Water Department .. . :... _ .
6431 University Avenue NE-
Fridley,MN 55432
_-__ ._ __ _ _ . . (7C3)572:3566_ _
tiwe hereby authorize the City of Fridley and/or its
employees ta do what is necessary to replace the wa�er meter. I understand that d�e properly owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
40Z.06) i also hold the City of Fridley and/�employees harn�less far any damages�at may occur
while doing this operation. This ta include,b�t not fimited M;�w�,P�fH�E►�lls,floors or d►e curb
stup box and senrice line. 1 under�tand 1 am alsa required to obtain a permit prioc to any work�if
necessary.
Firtal meter reading(ald meter) � �� o
Name• Address• �� � � w —_
Phone Number: Date: / ����/�
- �Signature:
_ _ . . _ _ _ _ _ __ _____
Witness Signature:
` FRIDLEY CITY C4DE
ER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMIN�STRAl10N
(Ref Ord No 113,464,SfiS,566,629,638r 66�,922,988,114411156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any hous.e
or building for whlch the application is made,the owner or contractor shail be required to obtafn a pemtit for such
connection,and shaf{pay a permit fee as provided in Chaptes 11 af thls Code. Aftec such conneetion has been
made,the 1Nater and Sewer Department shalt be notified. It shall be unlawful to cover eny connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitable connectian.
�02.a6.REPAIRS AIVD MAIIVTENANCE TO CONNECTION
Afte�the initial co�nectiort has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the properry line for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie for ail�epai�s required to any water line and sewer lines
necessary for connection of the p�emises from the main to the premises. If the prop��ty owner requests
maintenance service or repairs be performed by the(Sty,the property awner shall be cha�ged for the cnsts of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by.an administrative
policy. it shalf be the cesponsibi4ity of the applicant,owner,occupa�t or use�ta pe�farm standacd mainteaance of
' the sewer service 11ne from the premises to the main including de6ris clearing or root cutting and to maintain the
watpr spnrire n�rh ston hax fnr enerahllitv and at such hei�ht as wlil ensure that it remains above the finished