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Request Number: 8305
Public Works Division
Service Request
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Problem Address: 291-67th Ave Requested By: Lynn Nehring
Qepartment: WATER A�ddress: No address provided
ProblerNfssue: INSTALLAMR METER Phone Number: 1+763-571-9352
Scheduled Date: 201407-18 Schedufed Time: 08:OQ:00
ACTION NEEDED: AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-09
ACTION TAKEN:
Old meter#1418$836 Old reading: 06 60 New meter#44921238 ERT#35171884
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Status: Compieted Resident Contacted �
Date Completed: 201407-18 Completed by: Ryan Johnson
Hours
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Request Number: 8305
Public Works Division
Service Request
Problem Address: 291-67th Av�e Requested By: Lynn Nehring
Department: WATER Address: No address provided
ProblerNlssue: INSTALLAMR METER Phone Number: H-763-571-9352
Scheduled Date: 01407-18 Scheduled Time: 08:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-01
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ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Cornpleted: Comp 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 Cit1l�Fridley and/or Ns
employees to do what is necessary to replace the water meter. (understand that the property owner
is liable for the water line from the main to the premise and ail interior plumbing. (Per C3ty code
40Z.06) 1 also hold the C'ity of Fridley andJits employees harmless for a�r damages#hat may oavr
while doing this operation. This to intiude,but not limited to;+ra�ves,pipin�walis,floors or the curb
stop box and service tine. 1 understand 1 am also required to obtain a permit prior to any work,'rf
necessary.
Final meter reading(old meter) �W � �ll�
Name• Address• �i l � "' � �� -
Phone Number. Date• �'���� `
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Signature:
Witness Signature• _
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the application is made,the owner or contractor shalf be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shall be notified. It shali be unlawful ta cover any connecting line until an
inspection has been made and such connection and the work tnddent thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENAIdCE TO CONNECi'ION
Aiter the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water fine and sewer lines
necessary far connection of the premises from the main to the premises. if the prop�tty owner requests
maintenance senrice or repairs be performed by the�ty,the property awner shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or user to perfarm�tandaM maintenance of
� the sewer sen►ice line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wfli ensure that it remains above the finished
grade of tHe land o�property. (Ref 638,1156,1191)