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Request Number: 8425
Public Works Division
Service Request
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Probiem A�ddress: 260 67th Ave Requested By: Marilee Swandt
Department: WATER Address: No address provided
Probtem/Issue: INSTALLAMR METER Phone Number: 651-335-2373
Schedukd Date: 2014-07-25 Scheduled Time: 01:30:00 '
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-14
ACTION TAKEN:
Old meter#35181373 Old reading:�3 0�40 New meter#44921095 ERT#35159440
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Status: Completed Resident Cantacted ❑
Date Completed: 201407-25 Completed by: Ryan Johnson
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Req uest N u m ber: 8425
Public Works Division
Service Request
Problem Address: 260 67th Ave Requested By: Marilee Swandt
Department: WATER �kldress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 651-335-2373
Scheduled Date: 2014-0 25 � Scheduled Time: 01:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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- . Gty af Fridley _
. . --- Water Department =.- - �
6431 Universiiy Avenue NE�
Fridley,MN 55432
___ - _ __ _ _ _ . (763�572:3556_ _
I/we hereby authorize the City of Fridley and/or its
employees ter do what ls necessary to repiac�the water meter. I understaed that the propertY owner
is liable for the water line fram the main to the premise and ali iMeriar plumbing. (Per City code
40Z.06) I also hold the City of Fridley and/its employees harmless far any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,piping,wafis,�aors or the cu�
stup box and service line. I understand I am also required to abtain a perrnit prior to any work�if
necessary. � �� O, !�
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Final meter reading(old meter) �
Name: Address: � OV lf� I ' ~ � - ,
Phone Number: Date:_ �'��I��
Signature•
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_- _ _ __ __
Witness Signature:
FRIDLEY qTY C�DE
R 402.WATER,STORM WATEii,AND SANITARY SEWER
ADM{NISTRAII�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior ta cunstructing or repatc of any water ar sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required ta o6tain a permit for such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such cannectian has been
made,the Water and Sewer Uepartment shall be notified. 4t sha41 be un4awful 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
praper and suitable connection.
�02.�.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectian has been made to the water senrice curb stop box or the sewer fead at the property
line or a water service or sewer lead has 6een extended to the property linefor connection,the appiicant,awner,
or the occupant or user of such premises shall be liable for all�epalrs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner shali be cha�ged for the costs of the
maintenance and/or repairs, induding any necessary stt'eet repatrs,at a rate set annually by an administrative
pulicy. it shail 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 including debris clearing or root cutting and to maintain the
�ro��d��o n��h�r�►,t,�Y fnr�r,era6ilitv and at such heiQht as will ensure that it remains above the finished