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Request Nu�er: 8296
Public Works Division
Service Request
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Problem Address: 6699 Ashton Ave Requested By: Clayton Johnson
Department: WATER A�ddress: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: H)763-586-0930 c)763-772-8240
Scheduled Date: 2014-07-11 SchedWed T3me: 11:OQ:00
ACTION NEEDED:Install AMR
Created by: �heryl Pellegrin Date Created: 2014-06-30
ACTTON TAI�N:
Old meter# 11851324 Old reading 293 90 New meter#44921919 ERT#35159493
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Status: Completed Resident Contacted I"
Date Completed; 2014-07-11 Completed by: Ryan Johnson
Hours
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Request Number: 8296
Public Works Division
Service Request
Problem Address: 6699 Ashton Ave Requested By: Clayton Johnson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: H)763-586-0930 c)763-772-8240
Scheduled Date: 2 14-07-11 Scheduled Time: 11:00:�0
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ACTION NEEDED: Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-06-30
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Gomp d by:
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- City of Fridley _ _
• --- Water Department . ._.. -�- •
6431 University Avenus NE-
Fridley,MN 55432
(763)572-3566
f Jwe hereby authorize the Cty of Fridley and/or its
empioyees to do what is necessary to repia�e the water meter. I understand that d�e property owne�
is liable for the water line from the main tu the premise and all irrteriar plumbing. (Per City code
402.06) i also hold the City of Fridiey and/it4 empioyees harmtess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap�x and service line. 1 understand 1 am also required tu obtaln a permit prior to any work,if
necessary.
Hnal meter readin�(ald meter) �� t �� v��
Address• � `� ��'" " �' - '" �
Name• - .
Phone Number. ate: , ��`'���
Signature•-
iNitness Signatur .
' FRIDLEY qTY CQDE
CHAPTER 2.WATER,STORM WATER,AN�SANITARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191)
402.05.PERMR FEE �
Prior to constructing or repair of any water or sewer line connecting the existing muniripal system and any house
or building for which the application is made,the owner or contracto�shalf be required to obtain a permit for such
ca�nection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such cannection has been
made,the Water and Sewer Department sha!!be notified. !t shall be unlawful to cover any connecting Ifne until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.d5,REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box ar the sewer,lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shalf be liable for ail repairs required to any water line and sewer lines
necessary for 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 shall be charged for the costs of the
maintenance and/dr repairs, including any necessary st�eet repairs,at a rate set annually 6y.an administrative
policy. It shail be the responsi6ility of the applicant,owner,occupant or user to pe�form standard mainten��ce of
• the sewer 5e�vice line from the premises ta the main inciuding deb�is 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 M
grade of the land or property. (Ref 638,1156,1191)