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Request Number: 8639
Public Works Division -
Service Request
Problem Address: 70 62 1/2 way Requested By: Joanne Grambow
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR MEZER Phone Number: 763-571-3705
Scheduled Date: 2014-08-08 3cheduled Time: 02:00:00
ACTION NEEDED:Install t�Mlt
Created by: Julie Horak Date Created: 2014-0�29
ACTION TAI�N: �
Old meter#35510528 Old reading:037 60 Newmeter#44921250 ERT#35171860
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5tatus: Completed Resident Contacted 1'"
Date Completed: 2014-08-08 Completed by: Ryan Johnson
Hours
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city of Fridiey
Water Department
' `�� l��l.`�a u��t
Address
Name �,J0�1.�f�1�__1�1���.�
Date ���� \
Old Meter Number ��� �
Old Meter Reading
Replacement No. �-Ji� �d 'J'���,
Replacement Reading �
Replacement Make ��,�-
Remarks: ��OP� /r�� [*"(�
S igned � ,�_
Request Number: 8639
Public Works Division
Service Request
Problem Address: 70 62 1/2 way Requested By: Joanne Grambow
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 763-571-3705
Scheduled Date: 2014-08-08 Scheduled Time: 02:00:00
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ACTION NEEDED:Install AMR -
Created by: Julie Horak Date Created: 2014-07-29
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Complete
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� - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
�jWe hereby authorize the�ty of Fridley and/ar its
employees to do what is necessary ta 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 plumbing. (Per C'ity code
402.06) 1 also hoid the City of Fridiey and/its employees harmless�or any amages may r ----
while doing this operation. This to include,but not limited to;vatves,piping,walts,flaors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prio�to any woric,if
necessary. � �� �
Final meter reading(old meter) � �
Name•
Address: � V�� r2 �
Phone Number• Date' D� v��------ -
Signature•
�tness Signature:
FRIDLEY CITY CODE
ER 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 conneding 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 tonnection has been
made,the Water and Sewer Department shali be notified. It shali be uniawful to cover any connecting llne until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.Q6.REPAIRS AND MAiNI'ENANCE TO CONNECTiON
qfter.�h�-iai#ial coanectinn has_h�n rnade to the water service curb stop box or the sewer lead at the propert�
fine or a water service or sewer lead has 6een extended to the property iine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for alt repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be pe�ior`med 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 appticant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main includ'+ng 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
_ _ _ .-- __
._. �__� _
__.._. - _ gtade'of the land orproperty. (Refi63�;i1�;-1�91�_ __ .. __.__.__.. __ . .. ._ .. ________ _