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Request Number: 8630
Public Works Division
Service Request
Problem Address: 6560 Hickory St Requested By: Bruce Norberg
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-756-0909
Scheduled Date: 2014-08-08 Scheduled Time: 01:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-28
ACTION TAI�N: �
Old meter#32663269 Old reading: 4�30 New meter#44921248 ERT#35171917
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Status: Completed Resident Contacted I'"
Date Completed: 2014-08-08 Completed by: Ryan Johnson
Hours
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Request Number: 12178
Public Works Division
Service Request
Problem�dress: 6560 Hickory St Requested By: Sandi H
Department: WA1ER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
SchedWed Date: Sehednled 1ime:
ACIION NEEDED:Final reading.Clos' 11/14/16 T#35171917
Cre�ted by: Wendy I�iiatt Unte Created: 2016-11-02
ACTION TA�N:
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Status: In Pro�ess Submitter Has Been r
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Date Completed: Completed by:
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Request Numbei .
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Public Works Division
Service Request
Problem Address: �560 Hickory -�Requested By: Bruce Norberg
Department: WATER Address: No�ddcess provided
Problem/Issue: METER HORN(WATER) Phone Numbe�: 612-756-0909
Scheduled Date: 2013-05-28 Scheduled Time:
ACTION NEEDED Shut off water. Needs meter horn
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Created by: Wendy Hiatt Date Created: 2013-05-28
ACTION TAKEN:
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Status: In Progress Resident Contacted I�Y
Date Completed: Completed by:
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Request Number: 8630
Public Works Division
Service Request
Problem Address: 6560 Hickory St Requested By: Bruce Norberg
� Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-756-0909
Scheduled Date: 2014-08-08 Scheduled 1ime: 01:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-28
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple by:
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` - City of Fridley
' Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
__ is liabie for the water line from the main to the premise and all interior piumbing. (Per Ciiy code _
402.06) 1 also hold the Gty of fridley and/its employees harmless or any amages a may oc u
while doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �� �
Finat meter reading(old meter) � �
Name:
Address: �v %G�
Phone Numb� Date: �_ � I��
Signature• �
Witness Signature:
FRIDLEY CITY CODE
TER 402.WATER,STORM WATER,AND SANITAltY 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 or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
co�nectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectlon has been
made,the Water and Sewer Depariment shali be notified. It shall be unlawful to tover 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
proper and suitable connection.
402.06.REPAIRS AND MAtNTENANCE TO CONNECTfON
_A��_��q;�; � -•� � � ��a�+�*h�water service curb stop box or the sewer lead at the propert
line or a water service or sewer lead has been extended to the property line for connectian,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connect9on of the prernises from the main to the premises. If the prope�ty owner requests
maintenance service or repairs be performed by the City,the property owner shall 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 shali be the responsibitity of the applicant,owner,�ccupant 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
water service curb stop box for operability and at such height as will ensure that it remains above the finished
,- -._... __. ..
_ _ . ._ __._ .__ _
grade o�the land orproperty:-(Ref 638,��156,-�1-�J1}- --- —._-- -_. _.- . __.. . �__.__ _..--.