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, Request Number: 8445 �
' � Public Works pivision
' . Service Request
! ' Problem Addregs: 31 65 7/2 wa Requested B : Pat Stri r •
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Department: WATER Address: No addr�s provided ►
ProbterNlssue: INSTALLAMR METER Phone Number: 763-5T1-5138
3cheduled Date• 2014-0�3 � Schedulad_Ti . 09:00:00
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AC'TION NE�DEp: InstaUAMR
Created by, JuSe Horak Date Crested: 2014-07-14 .
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Status: in Progress Resident CoMacted O
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pate Completed: Com�teted by
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Request Number: 8445
Public Works Division
Service Request
' ProblemAddress: 31 65 1/2 way Requested By: Pat Stringer
Department: WATER Address: No address provid�
Problemlissue: INSTALLAMR METER Phone Number: 763-571-5138
Scheduled Date• 201407- 3 Scheduled Ti . 09:00:00
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AGTION NEEDED: InstaU AMR
Created by: Julie Horak Date Created: 201407-14
ACTION TAKEN:
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Status: In Progress Resident ContaCted ❑
Date Completed: Completed by
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. . _. Water Departrnen# . . ::. .
64�1 University Avenue NE-
F�idley,MN 55432 ,
---_._ ___ __ _ _ _ _. (763j 5Z2:3�56_ ___
f/we hereby authorize the City a�f Fridiey and/or its -
employees tc do what Is n�cessary to replace tbe water meter, i understand d�at the property owner
is fiable for the water line fram the main to the premtse and ali interior plumbing. (Per�rty code
402.06) 1 alsa ho{d the City af Fridley and/its empfayees harmless far any damages that may occu�
while doing this operation. This to in�lude,but not limited to;valves,pipin�walis,floors or the curb
stup box and service line. t understand t am also required to oM�ain a pemnit prior ta any work,if
necessary.
Flnal meter reading{old n►eter) � �� � "'
Names Address:�`r� , w
Phone Num q�e• ������
Signature•
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Witness Signature:
fRIDLEY qTY CODE
R 402.WATER,STORM WATER,AND SANITARY S�WER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144�1156,1191)
402.05.PERMfT FEE �
Prior to constructing or repair uf any water or sewer tine connecting the e�sting municipat system and any hous.e
or buildjng for which the application is made,the owne�or contracto�shall be required to obtain a pennit for such
connection,and shal{pay a permit fee as provided in Chapter 11 af this Code. After such connection has been
made,the 1Nate�and Sewer Department shall be notified. It shall be unlawFul to rnver any connecting tine until an
inspection has been made and sur�connection and the wnrk tncident thereto has been approved by the City as a
proper and suitable connection.
A0�2.06.REPAIRS AND MAIN'TEN�IIVCE TO CONNECTION
After the initiai connection has been made to the water senrice curb stop box ur the sewer lead at the property
(ine ar a water senrice or sewer lead has been extended to the property lina foc c�nnection,the appiiwnt,owner,
or the occupant or user of such premises shall be liabie for ali repairs required to any water line and sewer lines
necessary far connection of the premises from the main tn the premises. lf the prop�Cky owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a tate set annualty by an administrative
paficy. it shall be the responsi6ifity of the appllcant,owner,occupant or user ta perFBrm standard maintenance of
• the sewer service line from the premises ta the main including de6ris clearing or root cutting and ta maintain the
�.,�ro��o�,a�o����ti�t��►,�Y f����Prah�litv and at such hei¢ht as will ensure that it remains above the finished