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Request Number: 8755
Public Works Division
5ervice Request
Problem Address: 310 62nd Way Requested By: Greg Potasek
Department: WATER Address: No address provided
ProblemlIssue: INSTALI,AMR METER Phone Number: 574-9853
Scheduled Date: 2014-08-12 Scheduled Time: 08:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-11
ACTION TAI�N:
Old meter#94773440 Old reading: 154 60 Newmeter#44921247 ERT#351716�L
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Status: Completed Resident Contacted C'"
Date Completed: 201408-12 Completed by: RyanJohnson
Hours
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Request Number: 8755
Public Works Division
Service Request
Problem Address: 310 62nd.Way Requested By: Greg Potasek -
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-9853
Scheduled Date: 2014-08-12 Scheduled Time: 08:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-ll
ACTION TAI�N:
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Status: In Progress Resident Contacted C]
Date Completed: Com d by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the City of Fridley andJits employees harmiess or any amages a may occur -----
while doing this operation. This to intlude,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Finai meter readin old meter) ���� ��O
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Name: A�dress• D ���
Phone Number: Date: ��` ��`�
Signature•
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
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 application 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 shall be unlav+rful 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 CONNECTtON
_q{��_tp� • • • ade to the water service curb stop box or the sewer lead at the propert�
line or a water senrice 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, including 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 service curb stop box for operability and at such height as will ensure that it remains above the finished
_ . _._ -- ._ .. -
' '„- " �"" -�- �-�" grade of the iand or property:��Ref b38,1156,�191j-