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Request Number: 8634
Public Works Division
Service Request
Probl�em Address: 147 63rd Way Requested By: Mike
Department: WATER Address: No address provided
ProblemfIssue: INSTP►LI,AMRMETER PhoneNumber: 571-2890
Scheduled Date: 2014-07-30 Scheduled Time: 11:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-29
ACTION TAKEN:
Oldmeter#16847447 Oldreading: 1025 30 Newmeter#44921312 ERT#35159648
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Status: Completed Resident Contacted I""
Date Completed: 2014-07-30 Completed by: Ryan Johnson
Hours
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Request Number: 8634
Public Works Division
Service Request
Problem Address: 147 63rd Way Requested By: Mike
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 571-2890
Scheduled at . 2014-07-30 � Scheduled Time: 11:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-29
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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, - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i/we hereby autharize 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 plumbing. (Per City code
402.06) I aiso hold the Gty of Fridiey and/its employees harmless�or any amages a may c --�—
while doing this operataon. 7his to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand t am aiso required to obtain a permit prior to any work,if
necessary. ���� �
Final meter readin old meter) 4 "
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Name• Address•
Phone Number: Date: !���' ` �
Signature• �� �
Witness Signature:
FRIDLEY CITY CODE
CHA R 02.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191)
402A5.PERMIT FEE
Prior to constructing or repatr of any water or sewer line connecting the existing municipat system and any house
or building for which the app�ication is made,the owner or contrador 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 shail be unlawful to cover any connecting line untii 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.REP141RS AND MAINTENANCE TO CONNECTION
���p��,,� --• � � ��+�*�*h�water 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 sewe�lines
necessary for connection of the premises from the main to the premises. If the property 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 annualiy by an administrative
policy. It shali be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
� the sewe�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 lar�d orproperty. (Ref 638,1nb,139�} . ___ . . . _ _. . . _... _..�_..__.._ _. ._ _.._ . _. .__