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Request Number: 8657
Public Works Division
Service Request
Problem Address: 111 62nd Way Requested By: Sandra Applebee
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-2646
Scheduled Date: 2414-08-06 Scheduled Time: 10:00:00
ACTION NE�DED:2014�IIt
Created by: Wendy Hiatt Date Created: 2014-07-30
ACTION TAKEN:
Old meter#29786357 Old reading: 401 50 New meter#44921343 ERT#35171701 .
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Status: Completed Resident Contacted i"'"`
Date Completed: 2014-08-06 Completed by: Ryan Johnson
Hours
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Request Number: 8657
Public Works Division
Service Request
Problem Address: 111 62nd Way Requested By: Sandra Applebee
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-2646
Scheduled Date: 2014-08-OS Scheduled TSme: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-30
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)5T2-3566
���ye hereby authorize the�ty of Fridiey and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is 1ia61e for the water tine from the main to the premise and a!I interior plumbing. (Per City code
402.06) 1 also hold the Gty of Fridley and/its employees harmless fo�any amages a may oc ur ----—
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and servite line, !understand!am also required to obtain a permit prior to any work,if
necessary.
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Final meter reading(old meter)
Name: Addresr ` �� w
Phone Number Date: '� `����
Signature•
Nfitness Signature:
FRIDLEY CITY CaDE
C R 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buitding far which the application is made,the owner or contractor shali be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06:REPAIRS AND MAINTENANCE TO CONNECTION
-A#�r-�hg-initial connedion ha�he�n rnade to the WarPr service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applitant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lin.es, ...
necessary for connection of the premises from the main to the prem+ses. !f the propetty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by:an administrative
policy. !t shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
_ _ __ _ _-
_..____ ____. .- - grade�fthe'land or pr�perty:-(R�f638,1156;1193)-- - -_