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Request Number: 8660
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Public Works Division
Service Request
Problem Address: 20 63-1/2 Way NE Requested By: John Cannon
Department: WATER .Address: No address provided
Problem/Issae: INSTALL AMR METER Phone Number: 612-229-9478
Scheduled Date: 2014-08-OS Scheduled Time: 08:00:00
ACTION NEEDED:Install AMR
Created by: Kelly I{raus Date Created: 2014-07-30
ACTION TAKEN:
Old meter#36079831 Old reading: 84 00 Newmeter#44421090 ERT#35171716
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Status: Completed Resfdent Contacted 1�
Date Completed: 2014-08-OS Completed by: Ryan Johnson
Hours
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Old Meter Number �� �� �'c�'��'
Old Meter Reading� �J ` ` �
Replacement No. �6 a 7 �� ��
Rep�acement Reading_____� ,
Replacement Make � �-r
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Request Number: 8660
Public Works Division
Service Request
Problem Address: 20 63-1/2 Way NE Requested By: John Camion
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-229-9478
SchedWed Date: / Schedulgd Tfine:
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ACTION NEEDED:Inst AMR
Created by: Kelly Kraus Date Created: 2014-07-30
ACTION TAI�N:
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Status: In Progress Resident Contacted G
Date Completed: Complete by:.
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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. 1 understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per C'ity code
402.06) I also hold the City of Fridley andJits employees harmless for any amages a may
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � ��"' ��O
Name: Address• � t 2 �
Phone Number: " Date: �� �'/
Signature:
Witnes ature•
FRIDLEY CITY CODE
A TER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(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
co�nection,and shall pay a permit fee as provided in Chapte�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 CONNECTfON
_p,fter_the-in�tial u►nned�an ha�hPPn rnade to the 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 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 annualiy by an administrative
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 far operability and at such height as will ensure that it remains above the finished
. _ _ _ _ -- _. _
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grade o`�the lar�d or�prnp�rty:(Ref 638;3.156;1�91}- _ ------__ _ _. .. _ , _._ ._._ _____ . __._.. --