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Request Number: 8668
Public Works Division
Service Request
. Problem Address: 40-64th Way NE Requested By: Paul Mattson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: H-763-586-0097
Scheduled Date: 2014-0$-0$ Scheduled Time: 08:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-31
ACTION TAKEN; �
Old meter#17056446 Old reading: 36 60 New meter#44921460 ERT#35171639
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Status: Completed Resident Contacted 1""
Date Compteted: 2014-08-08 Completed by: Ryan Johnson
Hours
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Request Number: 8668
Public Works Division
Service Request
Problem Address: 40-64th Way NE Requested By: Paul Mattson
Department: WATER Address: No adckess provided
Problem/Issue: INSTALL AMR METER Phone Number: H-763-586-0097
Schednled Date: 2014-OS-08 Scheduled TSme: 08:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-31
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Comple d by:
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- City of Fridley
' � Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the�ty of Fridley andJor its
employees to do what is necessary to replace the water meter. I understand that the properly owner
_ is liable for the water line from the main to the premise and all interior piumbing. (Per City code _
402.06) i also hold the City of Fridiey and/its employees harmless or any amages may oc ur
while doi�g this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand 1 am atso required to obtain a permit pr�or to any work,if
necessary. � ��
Final meter reading(old meter) � " �
Name• Address• "/0 (�"� � �`�
Phone Number: Date: ����`�
Signature:
Witness Signature•
FRIDLEY CITY CODE
CH ER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any house
or buitding for which the appiication is made,the owner or contractor sha41 be reguired to obtain a permit for such
co�nection,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 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
-q�r-th�ipitual coanection has.��n rnade to th�water service curb stop box or the sewer lead at the pcopert�
line or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for atl repair�required to any water line and sewer 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 annually by an administrative
policy. It shall be the responsibility af the applicant,awner,occupant or user to perform standard maintenance of
° the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such he9ght as will ensure that it remains above the finished
. _ . - - --- __. .. .
_._. __ .-- -.__._grade of the iand or property:-(Ref 638,1156;1�91j- __ _ . _ _.----... ._ .. _ ,_. _.___ . _. .. _ __.___.