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Request`Number: 8515
Public Works Division
Service Request
Problem Address: 6631 East Riv�r Rd Requested By: Joan Russeil
Department: WATER Add�ess: No address provided
Problem/Issue: INSTALLAMR ME'IER Phone Number: 574-1327
Scheduled Date: 201407-24 Scheduled Time: 09:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-18
ACTION TAKEN:
Old meter#77088496 Old reading: 17 60 New meter#44921270 ERT#35171777
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Status: Completed Resident Contacted O
Date Compteted: 201407-24 Completed by: Ryan Johnson
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Request Number: 8515
Public Works Division
Service Request
Problem Address: 6631 East River Rd Requested By: Joan Russell
Departmerrt: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 574-1327
Scheduled ate: 201407-24 Scheduled 'me: 09:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Campl e y:
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_ - City of Fridley ._
. - -- WaterDepartment . :.. . .
6431 University Avenue NE-
Fridley,MN 55432
___ _ __ __ _ _ (7F�3)572-3586. __ _ _ _ _
_. __ .__ __
I/we hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to replace the water meter. I understand that the propeity owner
is liabte for the water line from the main ta the premise and ali interiar P�umbing. (Per City code
40Z.06) I also hold the C'ity of Fridiey and/its employees harm{ess far any danrages that may occur
while daing this operation. Tfiis to include,but not timited to;�ra�ves,t�ip�ng,wa�ls.floors a't�e curb
stap box and senrice line. I understand I am also required to obtain a permit prtar to any work,if
necessary.
Final meter readin�(old meter) �� �� � "'�
Name• Address. `�C�Q J( (i�/`�J`I M V��
Phone Number. Date: ��� /� ` r
5ignature:
__ _ __ _ __ _ _ -----
Witness Signature:
FRIDLEY qTY CQrDE
ER 4D2.WATER,STORM WAT�R,MiD SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water ar sewer line connecting the existing munidpal system and any house
or bui{ding for wfiich the appiicatian is made,the owner o�contractur shaA be�equired ta ohtain a permit for such
connectlon,and shall pay a permit fee as provided in Chapter 11 of this Code. After such conne�tion has been
made,tfie 1Nater and Sewer Department shalf be notified. !t shalt be unlawfut to covec any connecting line until an
inspection has been made and such cannection and the work inddent thereto has been approved by the City as a
proper and suitabie connection.
�02.06.REPAIRS AND MAINTEN�►NCE TQ CONNECiIOW
Afte�the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie for ail�epain 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 service o�repairs be pe�formed by the City,the praperty owner shall be charged for the c�sts of the
maintenance and/or repairs, induding any necessary street repairs,at a�ate set annuaily 6y an administrative
policy. It shail be the responsi6ii'rty of the appiicant,owner,ocCupant or user to perfarm standard maintenance of
� the sewer service 4ine from the pcemise5 to the main including deh�is ciearing ar root cutting and to maintaln the
,.,�ro��o�,��o M��h�r�n h„Y f��n�Prahilitv and at such hei�ht as will ensure that it remains above the finished