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Request Number: 8386
Public Works Division
Service Request
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Problem Address: 90 66th Way Requested By: BiN DuPay
Department: WATER Address: No address provided
Problem/issue: INSTALIAMR METER Phone Number: 612-280-2404
Scheduled pate: 201407-18 Scheduled Time: 08:30:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-10
ACTION TAKEN:
Old meter#17996782 Old reading 371 60 New meter#44921244 ERT#35171872
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Status: Completed Resident Contacted O
Date Compieted: 201407-18 Completed by: Ryan Johnson
Hours
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Request Number: 8386
Public Works Division
Service Request
Problem Address: 90 66th Way Requested By: Bill DuPay
Department: WATER Address: No address provided
Probleml{ssue: f NSTALL AMR METER Phone Number: 612-280-2404
Scheduled Date: 201407-18 Schedu�ed Time: 0'�
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp ed by:
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" � - City of Fridley. _
. . __. Wat�r Department .. _.. _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i/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 tiable for the water line from th�main to the premise and all interior plumbing. (Per C'aty code
40Z.06) 1 alsa hold the City of Fridley and/it4 empfoyees hanniess far any damages that may occur
while doing this operation. This to inciude,but nut limited to;valves,piping,walis,floors or the curb
stop box and service line. i understand I am also required to obtain a permit pNor�any work,N
necessary.
Final meter reading(old meter) �� � ��D
Name• Address• �� `�� "" �
Phone Numbe�: Date: �� t�` 1
Signature:
Witness Signature:
�RIDLEY qTY CpDE
CHAPTE 402.WATER,STORM WATER�AND SANITARY SEWER
ADMINtSTRATION
(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 municipal system and any hous.e
or building for which the application is made,the owner or contrador shal{be required ta obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shall 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. '
40Z.06.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 aif repairs required to any water line and sewer lines
necessary for cunnection of the premises from the main ta the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the app{icant,owner,occupant or user to perform�tandard maintenance of
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water servlce curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)