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Request Number: 8674
Public Works Division
Service Request
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Problem Address: 57 63rd way NE Requested By: Ana Barcan
Department: WATER Address: No a�iress provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 651-491-5974
Scheduled Date: 2014-08-15 Scheduled 13me: 07:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-01
ACTION TAI�N:
Old meter#30810519 Old reading•540 30 New meter#44921258 ERT#3515 476
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Status: Completed Resident Contacted (""'
Date Completed: 2014-08-15 Completed by: Ryan Johnson
Hours
I`t�7
Request Number: 10078
Public Works Division
Service Request
Problem Address: 57 63rd Way Requested By: Sandi H
Department: WATER Address: No address provided
Problem/Lcsue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Fina1 reading.Clos' S/16/15 RT'�#35159476 �
Created by: Wendy Hiatt Date Created: 2015-OS-13
ACTION TAKEN:
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Status: InProgress Resident Contacted �
Date Completed: Completed by:
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Request Number: 8674
Public Works Division
Service Request
Problem A+ddress: 57 63rd way NE Requested By: Ana Barcan
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-491-5974
ScheduledDate: 2014-08-15 � Scheduled'l�me: 07:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-01
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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- City of Fridley
� � � Water Department
6431 University Avenue NE
Fridley,MN 55432
(763i 572-3566
IJwe hereby authorize the�ty af Fridley and/or its
empioyees 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 plumbing. (Per C'it�r cale
402.06) I also hold the Gty of Fridley and/its employees harmless for--- anY�fc amages�fiaf ma�f----- -- —
while doing this operataon. This to include,but not limited to;valves,piping,walls,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. � `�
Final meter reading(old meter) 4L � "
Name• Address•
5 r� �
Phone Number:
Date: +����' ��
', Signature•
Witness Signature:
FRIDLEY C. CODE
CHA 40Z.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4b4,565,566,629,638,662,922,988,1144,1156,1191)
' 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 shaii 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 work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�#�.�b���az ha�n rnade to th�vya+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[ly owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrati�e
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
_ . -
_... _.. -gra�de of the laixi or-properiy:-�-Re#-�38,3.�55,_1�:9�j - ._ _� _ __. _ _ .__.