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Request Number: 8565
Public Works Division
Service Request
Problem Address: 91 66 Way Requested By: David Hart
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 763-571-6456
Scheduled Date: 2014-07-28 Scheduled Time: 10:00:00
ACTION NEEDED:Install AMR
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Created by: Kelly Kraus Date Created: 2014-0?-22
ACTION T.�I�N:
Old meter#16228264 Old reading.265 60 New meter#3�Itne bra4s bt��d3+�I'#35159444
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Status: Completed Resident Contacted 1-"
Date Completed: 2014-47-28 Completed by: Ryan Johnson
Hours .,
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Request Number: 8565
Public Works Division
Service Request
Problem Address: 91 66 Way Requested By: David Hart
Department: WATER Address: No address provided
Problem/7ssue: INSTALL AMR METER Phone Number: 763-571-6456
Scheduled Date: 2014-07-28 Scheduled Time: 10:00:Q0
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ACTION NEEDED:Install AMR
Created by: Kelly Kraus Date Created: 2014-07-22
ACTION TAKEN:
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Status: InProgress Resident Contacted t�
Date Completed: Com le by:
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_ .. - - � _- City of Fridiey
. _. Water Department _ __
6431 UniversFty Avenue ME
F�idtey,MN 55432
(763)5723566
I/we hgr�hv a�.rt ri the�of Erid_�eXand�or its
empioyees to do what is necessary to replace the water meter. t understand that the properly owner
is liable fi�r the water line from the main�the premise and all inter�r plumbing. (Per City c�de
402.06) I aiso hold the City of Fridley and/i!s empioyees fiarmless for arry damages that may occur
while doing this operation. This to include,but not limited�r;valves,piping,walis,floors or the curb
stop box and senrice line, i unders#and I am aiso required to obtain a permit pr�or to any work,ff
necessary.
Flnal meter reading(old meter) � ` ��'" ` p
Name: Address: �� `�� `^�"-- 1
Phone Numb�• Date• �"2����
Signature:
Witness Signature:
FRIDLEY CITY CAbE
GiAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.�5.PERMIT FEE �
Prior to constructing o�repair of any water or sewer line connecfing the exitting municipa)system and any hous.e•
or building for which the application is made,the owner or contractor shatl be required to obtain a permit for such
connectton,and shatl pay a permit fee as provided in Chapter 21 of this Code. Rfter such oonnectian has been
made,the Water artd Sewer Department shal!be notified. It shall be unlawtul to cover any connecting pne until an
inspection has been made and such connection and the work inddent thereto has been approved by the�ty as a
proper and suitable connection.
402•06.ItEPA1RS AND MAIN7'ENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer iead at the property
(ine or a water service or sewer tead has been extended to the properryttne for connecction,tt�e appticant,oumer,
ar the occupant ar user of such premises shall be liabie tor a!!repairs reqaired to any water line and server l3n�s
necessary for cannection of the premises from the main to the prernkes. If the prop�[ty ouvner requests
maintenance service or repairs be perFormed by the qty,the property owner shall be charged for the costs of the
maintenance and/or repai�s, including any necessary street repafrs,at a rate set annually by.an administrative
policy. It 5hail be the responsi6ility of the applicant,owner,occupant or user to pe�Form standard maintenance of
' the sewer service line from the premises ta the main including debri5 clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilf ensure that it remains above the finished
� grade of the land or property. (Ref 638,1156,1191)