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Request Number: 8614
Public Works Division
Service Request
Problem Address: 41 65 1/2 Way Requested By: BrianCox
Department: WATER Address: No addt'ess provided
Problem/Issue: INSTALL t1MIt MBZER Phone Number: 612-532-7647
Scheduled Date: 2014-08-04 Scheduled Time: 07:30:00
ACTiON NEEDED:2014�
Created by: Wendy Hiatt Date Created: 2014-07-25
ACTION TAI�N:
Old meter#15154954 Old reading 49 50 New meter#44921279 ERT#35171768
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Status: Completed Resident Contacted t"'
Date Completed: 2014-08-04 Completed by: Ryan Johnson
Hours
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Request Number: 8614
Public Works Division
Service Request
Problem Address: 41 65 1/2 Way Requested By: Brian Cox
Department: WATER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 612-532-7647
Scheduled D 2014-08-04 Sche Wed Time: 07:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-25
AC1�ON TAI�N:
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Status: InProgress Resident Contacted ❑
Date Completed: Comp t d by:
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, - City of Fridley
Water Department
6431 University Avenue NE
Frid{ey,MN 55432
(763)572-3566
��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 liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the Gty of Fridley and/its employees harmless�or any amages a may u —�---—
while doing this operation. This to include,but not limited to;valv+es,piping,wails,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� � U �
Name•
Address• l l
, Date: � �`
Phone Number:
Signature:
Niitness Signature: �
FRIDLEY CITY C�DE
CHAPT R 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 constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a perrnit 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 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 CONNECI70N
-A#�r-thg initial connection ha�hp�.�made to thP Wa*er 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,
ar the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the properly 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, inctuding any necessary street repairs,at a rate set annuat{y by:an administcative
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 for operability and at such height as will ensure that it remains above the finished
____.____._._. ... .._
. . _ . _ .__ _.
g�ai�e af�he iand orpraperty. (Ref 638,-�136,1191}--_ __._.._..__�_ _ . _ -- _._ --.— ___.. ____ ._ _ ___ ._ _. .