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Request Number: 8405
Public Works Division
Service Request
Prob{em Address: 80-66th Way NE Requested By: Nazrraon Khan
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: H-763-205-6841 C-763-267-3738
Scheduled Date: 201407-25 Scheduled Time: 08:00:00
ACTlON NEEDED: AMR InstaA
Created by: Cheryl Pellegrin Date Created: 201407-10
ACTION TAKEN:
Old meter#35048645 Oid reading 043 130 New meter#44921958 ERT#35159412
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Status: Completed Resident Contacted ❑
Date Completed: 201407-25 Completed by: Ryan Johnson
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City of Fridley
Water Department
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Old Meter Number ���� �a� ��
Old Meter Reading � d�� ��
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Replacement 'Reading �
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Request Number: 8405
Public Works Division
Service Request
Problem Address: 80-66th Way NE Requested By: Nazmoon Khan
Department: WATER �Idress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 1-�763-205-6841 C-763-267-3738
Scheduled Date: 2014-07-25 Scheduled Time: 08:00:00
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ACTION NEEDED: AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Corr�leted: Comp by:
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. - City of Fridley _
. -_. Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
��We 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 liable for the water line from the maln to the premise and ali interior plumbing. (Per C'ity code
402.06) I also hold the Gty of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping„walls,floors or the curb
stap 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) ��� ��
Name• Address• ��
Phone Number: e• �������
Stgnature• �" -
Witness Signature:
FRIDLEY GTY C�DE
CHAPTER 2.W�kTER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal systerri ar.d any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for wch
connection,and shall pay a permit fee as pruvided in Chapter 11 of this Code. After such connection F�as been
made,the Water and Sewer Department shali be notified. It shali be unlawfui to cover any cannecting line until an
inspeetion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.86.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property Ilne for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propgcty owner requests
maintenance service or repairs be perfarmed by the City,the property owner shall be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate.set annuaily by an administrative
policy. It shail be the responsibility of the applicant,owner,occupant or user to perform standard rnaintenance of
the sewer senrice line from the premise5 to the main including debris clearing vr root cutting and to maintain the
water service curb stop box for aperability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)