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Request Number: 8774
Public Works Division
Service Request
Problem Address: 170 62nd Way Requested By: Ann Fleischacher
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-875-8873
Scheduled Date: 2014-08-14 Scheduied 1ime: 01:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N: `
Old meter#93004026 Old readin 217 10 Newmeter#44922335 ERT#35159458
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Status: Compieted Reside
Date Completed. 2014-08-14 Compl
Hours
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Request Number: 8774
Public Works Division
Service Request
Problem Address: 170 62nd Way Requested By: Ann Fleischacher
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-875-8873
Scheduled Date: 2014-08-14 Scheduled Time: 01:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N:
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Status: In Progress Resident Contacted ■
Date Completed: Complet d by:
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� ' City of Frid{ey
` Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridiey a�dJor its
emp{oyees to do what is necessary to repface the water meter. 1 understand that the properly owner
is liable for the water line from the main to the premise and all interior piumbing. (Per C'rty code _ !
402,06) 1 also hcld the Gty of Fridley andiits ernpfoyees harmless or any amages may
while doi�g this operatiun. This to intlude,but not fimited to;vafves,pipin�,wafis,floors or tfie curb
stop bax and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary. � � � �
Fina{meter reading(oid meterj ��
Name:
Address• /�� ��� �
Phe
ne Number te• .��r y r�
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Signature•
Witness Signature:
FRIDLEY CITY CODE
AP R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,b38,662,922,985,1144,1156, 1191)
402A5.PERMIT FEE �
Prior to constructing flr repair of any water ar sewer line connecting the existing municipaf system and any house
or building for which the application is made,the owner or contractor shail be required to obtain a permit for such
connection,and sha{f pay a permit fee as provided in Chapter 11 of this Code. After such conneetion has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any cannecting line untii an
inspection has been made and such connection a�d the work incident thereto has been app�oved by the Ciry as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CQNNECTION
„p��r.�qg.�q�l�nnnprt�t hash�made to t�ip w�*Pr service curb stoa box or the sewec lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
ar the occupant or user of such pre�rtises shail be liabie for all repairs required to any water line and sewer lines
necessary for connectian of the premises from the main ta the premises. If tfie prop�tty owner requests
maintenance serv�ce or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, incfuding 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 ar root cutting and ta maintain the
water service curb stop box for operabifity and at such height as wifl ensure that it remains abave the fintshed
. ._ ---_ . ._.
_ __.__ .._ . _ __ _
_ grade of thelarrd or properiy. (Ref 63�;1156;1191) _. ._ __ — . _ ._ _ . _. __.__. _. ___ .._.._. ...__..