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Request Number: 8349
Public Works Division
Service Request
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Problem A�ddress: 270 67th Ave Requested By: Isaias
Department: WATER Address: No address provided
Problemlissue: INSTALLAMR METER Phone Number: 502-1394
Scheduled Date: 2014-07-07 Scheduled Time: 02:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy F4iatt Date Created: 201407-07
ACTION TAKEN:
Old meter#91004016 Old reading: 62 30 New meter#44922075 ERT#35171610
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Status: Completed Resident Contacted ❑
Date Compieted: 2014-07-07 Completed by: Ryan Johnson
Hours
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Request Number: 8349
Public Works Division
Service Request
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Problem A�dd�ess: 270 67th Ave Requested By: isaias
Department: WATER �fdress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 502-1394
Scheduled Date: 2014-07-07 Scheduled Time: 02:00:0�
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-07
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed
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- • City of Fridiey _
... _-- Water Department .. _.. _
6431 Univet�sity Avenue NE-
Fridfey,MN 55432
(763)572-3566
�/We hereby authorite the City of FridleY and/or 1ts
empioyees to do what is necessary to replace the water meter. I understand that the property ovvner
is liable for the water fine from the main to the premise and afi irrterior plumbing. (Per qty cale
402.Q6� 1 atso hold tl�e Gty of Fridiey and/its emptoy,�s harmless for any damages d�at may a�ccur
while doing this operatiun. This to include.but not limited to;+►afves.pipin8�waiis,floors or the curb
stap box and servica line. I understand{am atsa required to a6tain a permit prior to any worh,if
necessary.
Final meter reading(old meter) ����v O
Name: Address: ��� ��� �Cl/ei ,
Phone Number: ,+„_Dat� ,����` �
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Slgnature:
Witness Signature•
FRIDLEY CITY CQDE
CHAPTE 402.WA'�'ER,STORM WA�i'ER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,A�64,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE -
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any hou5e
� or buitding far which the apptication is made,the owner or contrador shali be reguired to obtai�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 1Nater and Sewer Department shall be notified. It shaii be uniawful to cover any connecting line until aa
inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
p�oper and suitable cannection.
402,06,REPAIRS AND MAlNTENANCE TO CONNECTI�N
After the initial cannection has been made to the water service curh stop box or the sewer tead at the property
line or a water senrice or sewer lead has been extended to the propertyline for connectfon,the applicant,owner,
ar Che occupant or user of such premises shail be liable for ail repatrs required to any water line and sewer tines
necessary far connection of the premises from the main to the premises. If the prop��ty owner requests
maintenance service o�repairs be perforrr+ed by the Gty,the property awner shall be charged for the costs of the
maintenance andJor repairs, including any necessary st�eet repairs,at a rate set annualfy by an administrative
policy. it shalR be t4�e responsibitity af the applicant,awner,occupant or use�to perform�tandard matnte�ance of
� the sewer service line from the premises to the main including debris clearing or root cutting and to majntain the
water senrice curb stop box for opetability and at such height as avlll ensure that it remains above the finished
grade of ttie land or property. (Ref 638,1256,1191j