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Request Number: 8664
Public Works Division
Service Request
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Problem Address: 183 63rds4�+e� Requested By: Charles Ryan
Departmeat: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 763-586-8103
Scheduled Date: 2014-08-04 Scheduled T3me: 09:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-30
ACTION TAI�N:
Old meter#33588678 Old reading: 26 70 New meter#44921271 ERT#35171742
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Status: Completed Resident Contacted I�`I
Date Completed: 2014-08-04 Completed by: Ryan Johnson
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Water Department
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Name 1�1�t�� �� _
Date � 1"
Old Meter Number �q9�t�b
Old Meter Reading , �
Replacement No. � �
1 Replacement Reading �
, Replacement Make �'jP��"� �
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Signed
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Request Number: 8664
Public Works Division
Service Request
Problem Address: 183 63rdr�o2 �� Requested By: Charles Ryan
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-586-8103
Scheduled Date: 2014-08 4 Schedule me: 09:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-30
ACTION TAKEN:
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Status: In Progress Resident Contacted I"'
Date Completed: Co pl y:
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• City of Fridiey
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. i understand that the property owner
is liabie for the water line from the main to the premise and all interior piumbing. (Per Gty code _
402.06) I also hold the Gty of Fridiey and/its employees harmless for any amages a may o ur
while doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(oid meter) ���U � � �-----^—
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Name• A�'re��
Phone Number Date' ��"1���
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Signature:
Witness Signature:
FRIDLEY CITY CODE
CH 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 cpnstructing or repair of any water or sewer line connecting the existing municipat system and any house
or buitding for which the appiication 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 connection has been
made,the Water and Sewer Department shall be notified. It shail be unlawrful 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 CONNECTtON
��� • � rnade to th�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�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop�[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 shall be the responsibitity 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
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gia�e of the land Drproperty: (Ref 638;1156,1191}. --. .__._ _...___ ___. .__. . .__ ._.__ ____ _._ ... _