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Request Number: 8450
Public Works Division
Service Request
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Problem Address: 81 -65 1/2 Way Requested By: John Reis
Department: WATER Address: No address provided
Problem/issue: INSTALL AMR METER Phone Number: cell-612-201-6970
Scheduled Date: 2014-07-22 Scheduled Time: 11:00:00
ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-15
ACTION TAI�N:
Old meter#35885558 Old reading 087 10 Newmeter��tt btass badqERT#35171741
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Status: Completed Resident Coatacted I"'`
Date Completed: 2014-�7-22 Completed by: Ryan Johnson
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Old Meter Reading
Replacement No. �
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Replacement Make
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Signed
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Request Number: 8450
Public Works Division
Service Request
ProblemA�ddress: 81 -65 1/2 Way Requested By: John Reis
Department: WATER Address: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: cell-612-201-6970
Scheduled Dat • 201�1-07-22 Scheduled Time: 11:00:00
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ACTION NEEDED: Instau AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-15
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple e ;by:
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- - City of Fridley ...
. . --. Water Department ..... �... -
6431 University Avenue NE-
Fridley,MN 55432
-___ _ _ __ _ __(7b3)_572-3566_ _ _
I/we hereby authorize the City of Fridley and/or its
empluyees to do what is necessary to replace the water meter. (understand that the property o�mer
is liable for the water line from the main tu the premise and all interior plumbing. (Per�ity code
40Z.06) t also hold the City of Fridley and/i�employees harmless for any damages�at may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stap box and service line. 1 understand I am aiso required to obtain a permit prior ta any work,if
necessary.
�inal meter reading(otd meter) �� � O �O
t
Name• Address: � � � ,
Phone Number: Date: � v� ��—
. �
Signature• ��`�—�
___.. .__ __.
_ _. � ____ _ _ _ _-___
Witness Signature:
FRIDLEY CITY CpOE
CHAt 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1�.44,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the e�isting municipa)system and any hous.e
or building for which the application is made,the owner or contracto�shall 6e required ta obtain a permit for such
connedion,and shall pay a permit fee as pruvided in Chapter 1i of this Cade. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting Iine until an
inspection has been made and such connection and the work inddent thereto has been approved by the�ty as a
proper and sultable connection.
402.Ob.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial co�nection has been made to the watar sefvice curb stop box or the sewer tead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user nf such premises shall be liable for ail�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propeCty owner requests
maintenance service o�repai�s be performed by the City,the property owner shall be cha�ed for the casts of ifie
maintenance and/ar repairs, induding any necessary street repairs,at a rate set annually by.an admi�istrative
palicy. It shall be the responsi6ility of the applicant,owner,occupant or user to peiform standard maintenance of
� the sewer service line fram the premises to the main inctuding de6�is clearing or root cutting and to maintain the
,.,�+�,.e.,a,.e M��ti�+.,.,ti.,,,f„�„�o��t,ii�,,�an�at cuch heiQht as wlll ensure that it remains above the finished