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Request Number: 8312
Public Works Division
Service Request
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� Problem Address: 240-67th Ave Requested By: Barb Clint
Department: WA'IER Address: No address provided
Problem/Issue: INSTALLAMR METER • Phone Number: 763-572-0653 H
Scheduled Date: 201407-16 Scheduled Time: 11:00:00
ACTION NEEDED: Install AMR
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN:
Old meter#16736399 Old reading: 13 30 New meter#44921077 ERT#35159870
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Status: Cornpleted Resident Contacted ❑
Date Completed: 201407-16 Completed by: Ryan Johnson
Hours
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Request Number: 8312
Public Works Division
Service Request
Problem Address: 240-67th Ave Requested By: Barb Clint
Department: WATER Address: No address provided
Probiem/Issue: INSTALLAMR METER Phone Number: 763-572-0653 H
Scheduled Date: 201407-16 Scheduled Time: 11:00:00
ACTION NEEDED: InStaIIAMR _ � 1� � w ��
Created by: Cheryl PeNegrin Date Created: 2014-07-01
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: - Comple by:
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- City af Fridley
. --. Water Department . .... _.
6431 University Avenus ME
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridiey and/or its
employees to do what is necessary to replace the water meter. I understand that the property cwrrer
is liable for the water line from the main tu the premise and ali iirtecior plumbing. (Per Gty c�de
402.06) 1 also hold the�ty of Fridley andJits employees harmiess for arry damages that may acur
while doing this operation. This to include,but not limited to;valves,pipin�,walls,floors or the curb
stap liox and service line. !understand 1 am also required to ob�in a permit prior to any work,if
necessary.
Final mete�reading(old meter) � � � � � � O
Name: Address• l��� U/�� �� .
Phone Number ate: ' �_�
Signature• <
Witness Signature:
FRIDLEY qTY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIOM
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1556,1191) �
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting tF�e existing municipat system and any house
or bui{ding for which the application is made,the owner or cantractor shali be required to o6tain a permft 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 shal!be notified. It shall be unlawful to cover any connecting line 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 connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECi'ION
After the initlal co�nection has been made to the water service curb stop box or the sewer lead at the property
line or a water servite or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the accupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. if the prop�[ty owner requests
maintenance senrice or repai�s be performed by the City,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 applicant,owner,occupant or user ta pertorm standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wfll e�sure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191j