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Request Number: 8861
Public Works Division
Service Request �
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Pro�lem Address: 171 63rd Way Requested By: Larry Ovshak
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 571•2905
Scheduled Date: 2014-08-29 Scheduled Time: 09:00:00
ACTiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-28
ACTION TAI�N: ` �
Oldmeter#84619132 Oldreadin 95 0 Newmeter#44922050 ER'�#�35�65
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Status: Completed Resident �`����
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Date Completed: 2014-08-29 Complete
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Request Number: 8922
Public Works Division ,
Service Request
Problem Address: 171 63rd Way Requested By: Sandi Haza
Department: WATER Address: No address provided
Problem/Issue: READ METER Phone Number: '
Scheduled Date: Scheduled'ITme:
ACTTON NEEDED:ERT#35159605
Created by: Wendy Hiatt Date Created: 2014-09-16
AC AI�N:
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Status: Completed Resident Contacted I"'
Date Completed: 2014-09-16 Completed by: Pete Gunderson
Hours
Request Number: 8922
Public Works Division
Service Request
Problem Address: 171 63rd Way Requested By: Sandi Haza
Department: WATER Address: No address provided
Problem/Issue: READ METER Phone Number:
Scheduled Date: SchedW ed Time:
ACTION NEEDED:ERT#35159605
Created by: Wendy Hiatt Date Created: 2014-09-16
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
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Request Number: 8861
Public Works Division
Service Request
Problem Address: 171 63rd Way Requested By: Lazry Ovshak
Department: WATER Address: No address provided
Problem/Issuec INSTALL AMRME'IER Phone Number: 571-2905
5cheduled Date: 2014-08-29 Scheduled'l�m�' ��A:Q0:00 � �
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ACTION NEEDED:2414 AMR
Created by: Wendy Hiatt Date Created: 2014-08-28
ACTION TAI�N:
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Status: 1n 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 authorize the tity of Fridley andJor its
empfoyees to do what is necessary to replace the water meter. i understand that the property owner
is lia6ie for the water line from the main to the premise and all interior ptumbing. (Per City code __
402.06� I atso hotd the Gty of Fridley and/its employees harmless or any amages a may�
while doing this operadon. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. !understand 1 am also required to obtain a permit prior to any work,if
necessary. � � �
r readln o!d meter) � �
Ffnal mete 8 l �-7
Name�
Address:_ � ` � '— ��� �'�
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Phone Number� Date:
Signature: '
Niitness Signature•
FItIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER,ANO SANtTARY SEWER
ADMINISTRA'170N
(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 muniupal system and any house
or building for which the application is made,the owner or rnntractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shall be noti�ed. It shali 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.Qb.REPAlRS AND MAINTENANCE TO CONNECTtON
.��+,�,�,r t}�� r service cur6 st 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 I'�able for ali�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises, tf the prop�Cty owner requests
maintenance service ar repairs be pe�formed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shatl be the responsibility of the applicant,owner,oaupant or user to perForm standaM maintenance of
• the sewer sen►ice line from the premises to the main inciuding debris clearing or root cutting and to maintain the
water service curb stop box for aperability and at such height as will ensure that it remains a6ove the finished
Re�63�,-1,�S,..t1��:) .__ . � _ .
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__.. . _..___.. ---_._ ..._:..-.grade of tii�land orprop�r4y.-(