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Request Number: 8599
Public Works Division
Service Request
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Problem Address: 121 64 1!2 Way Requested By: Laura Kelty for Al Keene
Department: WATER Address; No address provided
Proble�n/Issue: INSTALL AMR METER Phone Number: 763-753-5549
Scheduled Date: 2014-08-01 Scheduled Time: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-24
ACTION TAI�N:
Old meter#19476640 Old reading 1865 30 Newmeter#44921276 ERT#35159876
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Status: Completed Resident Contacted I""
Date Completed: 2014-08-01 Completed by: Ryan Johnson
Hours
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Request Number: 8599
Public Works Division
Service Request
Problem Address: 121 64 1/2 Way Requested By: Laura Kelly for AI Keene
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-753-5549
Scheduled Date: 1 08-01 Scheduled Time: 02:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑ °;1:
Date Completed: Com ete y:
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. - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we � (� �'i��h hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is{iable for the water{ine from the main to the premise and all interior piumbt�g. (Pec C'ity code
402.06) 1 also hold the C'ity of Fridley and/its empioyees harmless�or any amages may u --�--
while doing this operation. This to inciude,but not limited to;valves,piping,walls,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. � ���� ��
fina{meter reading(old meter}
Name:�.,��� ���—� � Address: �
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Phone Number:7 Date:
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTE 402 ATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,b62,922,988,1144,1156,1191�
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 contrador shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shali 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
.A#�r-tt�-ip;tiat con►+p�-+��n has beQ.n rnade to the watPr service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properry line for�onnection,the applicant,owner,
ar the occupant or user of such premises shall be liable for all repairs required to any water line and sewer line5. _ _
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 annuaily by an administrative
policy. It shali 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 for operabitity and at such height as will ensure that it remains above the finished
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.r_ ._. gracte 0fthe land orproperty. (Ref 638,-�-156;-��g1}--. __ _-- �.__ _.._.._ ._____. ______ . _ ._ _ _..__._.__r.___