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Request Number: 8766
Public Works Division
Sernice Request
Problem Address: 141 62nd Way Requested By: Xiong
Department: WATER Address: No address provided
Problem/Iasue: INSTALL AMR IVIEIER Phoae Number: 651-231-3259
Scheduled Date: 2014-08-18 Scheduled Time: 08:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-12
ACTION TAI�N:
Old meter#93004024 Old reading:447 30 Newmeter#44922334 ERT#35159 74
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Status: Completed Resident Coatacted !'"'
Date Completed: 2014-08-18 Completed by: Ryan Johnson
Hours
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� Request Number: 8766
Pub6c Works Division
�;- Service Request
Problem Address: 141 62nd Way Requested By: Xiong
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 651-231-3259
Scheduled Date: 2014-08-1$ Scheduled Time: 08:00:00
ACTION NEEDED:2014 AMR _C\, o � ��
T�r.�
Created by: Wendy Hiatt Date Created: 2014-08-12
ACTION TAI�N:
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5tatus: 1n Progress Resident Contacted C7
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)572-3566
lJwe hereby autharize the�ty of Fridley and/or it,s
employees to do what is necessary to replace the water meter. 1 understand that the property owner
_ is liable far the water line from the main to the premise and all interior piumbing. (Per�ty code _
402.06) I also hold the City of Fridtey and/its employees harmless or any amages a may
while doing this operaiaon. This to inciude,but not limited to;vaives,piping,walls,flaors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter) � � `{ � ��
Name•
Address:� �
Phane Number• Date� ����~��
Signature:
Witness Signature•
FRIDi.EY CITY C4DE
CHA ER 4d2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,63$,662,422,988,1144,1156,1191)
402.05.PERMi't FEE
Prior to constructing or repair of any water ar sewer line conneding the existing municipai system and any h�use
or building for which the application is made,the owner or contrector shall be required to obtain a permit for such
connection,and sha(1 pay a permit fee as provided i�Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shail be notified. It shall be unlawfu!to cover any connecting line untii 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 MAlNTENANCE TO CONNECTION
-A�r-�qe-i�itiat conner.tian has bPpn made to the water service curb stop box or the sewer lead at the propert�
line or a water ser�ice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water(ine and sewer li»es
necessary for connection of the prernises from the main to the premises. If the prop�riy owner requests
maintenance service or repairs be performed by the City,the property owner shali 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 sha(i be the responsibility of the applicant,owner,occupant or user to pe�form startdard maintenance of
• the sewer service line from the premises to the main including debris ciearing 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
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grade ofthe lae�d'br property. (Reffi38;-1156,��.3�J1�- . _ . _._ _ _ _ _ .__ __ _. _