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Request Number: 8823
Public Works Division
Service Request
Problem Address: 151-62nd Way NE Requested By: Tessa Buhman
Department; WATER Address: 151 -62nd WayNE
Problemllssue: INSTALLAMItMETER Phone Number: ce11540-771-8737
Scheduled Date: 2014-08-27 Scheduf ed'Ii me: 1 I:00:00
ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-08-20
ACTION TAI�N:
Old meter#15827853 Old reading•407 60 New meter#44922048 ERT#35159 9
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Status: Completed Resident Coptacted C"`
Date Completed: 2014-08-27 Completed by: Pete Gunderson
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Request Number: 8823
Public Works Division
Service Request
Problem Address: 151 -62nd Way NE Requested By: Tessa Buhman
Department: WATER Address: 151 -62nd WayNE
Problem/Issue: INSTALL AMR METER Phone Number: ce11540-771-8737
Scheduled Date: 2014-08-27 Scheduled TSme: 11:00:00
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ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-08-20
ACTION TAI�N:
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5tatus: In Progress Resident Contacted �
Date Completed: Compl d by:
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- City of Fridtey
Water Department
� 6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
!/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
���iable for the water line ftom the main to the premise and all interior plumbing. (Per C'ity code __
402.06) i aiso hold the Gty of Fridley and/its employees harmless for any amages a may
white doing this operatiar�. This to include,but not limited to;vaives,piping,waiis,floors or the curb
stop box and service line. I understand i am also required to obtain a penr�it ptior to any work,if
necessary.
Final meter reading(o{dmeter� ���� ��
Name•
Address• ��� � "�'��
Phone Number•
Date� ��'�4 l�
' Signature•
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMiNISTRATION
(Ref Ord No 113,4b4,565,566,629,63$,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 building for which the apptication is made,the owner or contractor 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 sha(I be unlawfut to cover any connecting line unti)an
inspection has been made and such connection and the work incident thereto has been approved 6y the City a5 a
proper and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNEC170N
����b����p�i�abas.haPn rnade to th�Na.^r 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 applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope�ty 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, induding any necessary street repairs,at a rate set annually by an administrative
policy. It 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 senrice curb stop box for operability and at such height as will ensure that it remains above the finished
..�._ _._ . _. - - _ __.
. _ .�-: -`grade'ofifieland or-prop��iy:�Re#63�,1�5,1393� .- ��.