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Request Number: 8746
Public Works Division
Service Request
Problem Address: 80-62 1/2 Way NE Requested By: ; Ken Scheierl
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-919-0989 cell
Scheduled Date: 2014-OS-21 'Scheduled'ISme: 08:30:00
ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-08-08
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ACTION TAI�N:
Old meter#8445237 Old reading� 10 New meter#44922272 ERT#351597
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Status: Completed Resident Contacted C"'
Date Completed: 2014-08-21 Completed by: Ryan Johnson
Hours
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Request Number: 8746
Public Works Division
Service Request
Problem Address: 80-62 1/2 Way NE Requested By: Ken Scheierl
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-919-0989 cell
Sched ed Date: 2014-08- 1 Scheduled 1ime: 08:30:00
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ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-08-08
ACTION TAI�N: -
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Status: In Progress Resident Contacted ❑
Date Completed: Completed y:
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� ` - City of Fridley
w Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 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) I aiso hold the Gty of Fridley and/its employees harmless�or any amages a may occur ---—
while doing this operation. This to include,but not limited to;�alves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. �� A � o� O
Final meter reading(old meter� ��
Name• Address•
2 t��
Phone Number. Date: ��v����
/
Signature•
Witness Signature:
FRIDLEY CITIf CODE
CH 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATICIN
(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 shali 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 unlawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON .
_��er-�k�e-initiat����p�-*��a has_h�n rnade to thp wa*Pr 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, including any necessary street repairs,at a rate set annually by an administrative
policy. it shali 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 operabitity and at such height as will ensure that it remains above the finished
_ . ._ . ..._. .. ._
. __ . . ._ . Ref 638,1n6,1�93
_..__grade of�Cheland or prnperty. ( ) . , _.__� _.. _ .._ _ _ . _ _ _ ___.