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Request Number: 8395
Public Works Division
Service Request
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Problem A�ddress: 25 66 1/2 Way Requested By: Denise Wax
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 612-419-6461
Scheduled Date: 201407-16 Scheduled Time: 08:30:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-10
ACTION TAKEN:
Old meter#19452998 Old reading: 075 80 New meter#44921070 ERT#35159868
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Status: Completed Resident Contacted ❑
Date Completed: 201407-16 Completed by: Kory Jorgensen
Hours
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Request Number: 8395
Public Works Division
Service Request
Problem Acfdress: 25 66 112 Way Requested By: Denise Wax
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 612-419-6461
Scheduled Da e: 014-07 16 � Scheduled Time:
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ACTION NEEDEQ: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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- City of Fridley
_ � --• Water 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. !understand that the p�operty awner
is liable for the water line from the main to the premise and all interior plumbing. (Per C'ity code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may acur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. i understand I am alsu required to obtain a permit prior to any work,if
necessary.
Fina1 meter reading(otd meter� "� � � ��
Name: Address: � �J L�✓ (� �"- , '
Phone Number• Date: ��/��r�
�
" 1
Signature• �
Witness Signature•
FRIDLEY CITY C�DE
CHAPTER 402.WATER,ST�RM 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 municipal system and any hous.e
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. ft shalf be uniawFul to cover any connecting fine until an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
praper and suitabte connectio�.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the property
iine flr a water service or sewer tead has been extended to the property fine for connection,the applicant,owner,
or the occupar►t ar user of such premises shali be liabte for al{�epairs required to any water line and sewer tines
necessary for connection of the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be pertormed by the�ty,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
palicy. 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 inctuding debris cfearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiN ensuse that it remains above the flnished
grade of the land o�property. (Ref 638,1156,1191j