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Request Number: 8783
Public Worlcs Division
Service Request
Problem Address: 121 62nd Way Requested By; Benjamin Pfingsten
Department: WATER Address: No ad�dress provided
Problem/Issue: INSTALLA1vIItME'IER PhoneNumber: 612-270-8030
Scheduled Date: 2014-08-14 Scheduled Time: 10:00:00
ACTTON NEEDED:2014�IIt
Created by: Wendy Hiatt Date Created: 2014-08-14
ACTION TAI�N: v
Old meter#36604559 Old reading 0275 70 Newmeter#Satr�c b�ass body&RT#�35159470
Status: Completed Resident Contacted 1""
Date Completed: 2014-08-14 Completed by: Ryan Johnson
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City of Fridley
Water Det�artment
Address ���j�,� (��
Name� .Ft..��_M�'
Date — �t—([)
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Old Meter Number 3 a S�
Old Meter Reading (� /a
Replacement No._ � ��(�jy���
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Replacement Reading
Replacement Make_ ���j �
Remarks• � (��� ����
S igned ,,�i��
Request Number: 8783
Public Works Division
Service Request
Problem Address: 121 62nd Way Requested By: Benjamin Pfingsten
Department: WATER Address: No address provided
Problem/Tssue: INSTALL AMR METER Phone Number: 612-270-8030
Scheduled Date: 2014-08-14 Scheduled'I�me: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-14
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Comp eted by:
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. - City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(T63)572-3556
��we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I unde►stand that the property owner
��t�aWe far the water line from the main to the premise and all interior plumbing. (Per Gty code
402.06) i also hold the Gty of Fridley and/its employees harmless or any amages a may oc r—l—"�-�-"- -
while doing this operation. This to include,but not limited to;vafves,piping,waits,floors or tfie curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
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Flnal meter reading(oid meter)
Name:
Address: �� ��� �
Phone Number:
�ate• $'1��1`r
Signature•�
Witness Signature: '
FRIDLEY CITY C�DE
CHA ER 402.WATER,STORM WATER,AND SANITARY SEINER
ADMlN15TRAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing ar repair of any water ar sewer line connecting the existing municipal system and any house
or buiiding for which the application is made,the awner or contracto�shall 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 wo�k incident thereto has been appr�ved by the City as a
proper and suitable connection.
402.06.REPA{RS AND MAINTENANCE TO CONNECTION
����Q� .. ,___�___�..,ae+.,+ae,..�+o��Qryice curb stop box or the sewer fead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for aU�epairs required to any water line and sewer lines
necessary for connection of the prernises from the main to the premiset. If the prope[iy owner requests
maintenance service ar 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. It shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenaace 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 wili ensure that it remains above the finished
,.. _.._., ..._...._.._ :-�.���nf'Che land or pfop�rfy:(Re#635,.1��5,23��) _
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