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Request Number: 9579
Public Works Division
Service Request
Problem Address: 5129 Horiwn Dr Requested By: Jordan Anderson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 1-715-577-4169 '
Scheduted Date: 2014-12-48 Scheduled Time: 08:00:00
ACTION NEEDED:Install AMR.Meter is old and leaking at the packing nut.
Created by: Wendy Hiatt Date Created: 2014-12-OS
ACTION TAI�N:
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Old meter#32047224 Old reading: 0 New meter#44920892 ERT#35159306
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Status: Completed Resident Contacted �' '
Date Compteted: 2014-12-08 Completed by: Joseph Katzung
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Request Number: 9579
Pubfic Works Division
Service Request
Problem Address: 5129 Horiwn Dr Requested By: Jordan Anderson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 1-715-577-4169
Scheduled ate: 201 -12-08 SchedWedTime: 08:00:00
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Y'�A�CTION NEEDED:Install AMR Meter is old and leaking at the packing nut.
Created by: Wendy Hiatt Date Created: 2014-12-OS
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* ACTION TAI�N:
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Status: 1n Progre�"s - Resident Contacted ❑
Date Completed: Comgleted by:
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. - City of Fridley
- , _..., iNatPr Depa�tm�nfi -
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6431 University Avenue NE �
Fridiey�MN 55432
(763)572-3566
1/we hereby authorize tfie fatY af�ridley and/or its
employees to do what is�cessary to rep{ace the water meter� ��������e���°W�r
�sliable for the water line from the main ta the premise and all intenar plumbing. (Per txity code
402.06j I aisa hald the C'rty of Fridley and/its employees harmiess or any amages may��
while doing this operaticn. This to indude,6ut nat limited t+o;vah�es►piPi�&.wa�fs,floors or t1�wrb
stop box and service line. I understand I am also required to o�a Pp�it prior ta any work,if
necessary. �
Ftnal meter reading(old meter) ��� `��
Name• Addr�s� 5���k �s-.�n�, l� .
Phone Number• Date• l�� �
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Signature: �'"" ,
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Witnpss Sign� ure:
FRIDLEY G'[Y CODE
�F{APTER 402.WATER,STORM WATER,AND SANiTARY SEWER
AbMINISTRATIUN �
� (Ref Ord Mo 113f 464,565,556,629,638,662,922,988,1141i,1156,1191)
4p2.05.PERMiT FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
ar building for which the application is made,the owner ur contraetor shall be required to obtain a permit for sucfi
cannecfian,and shall pay a permit fee as provided in Chapter 11 of this Cnde. After such cnnnedion has 6een
made,the iNater and Sewer Departmeat shall be notified. It shall be unlawful to caver any connecting line until an
inspectiun has been mede and such connecCion and the work incident thereto has been approved 6y the City as a
proper and suitable connection:
402.aG.REPAlRS AND MAINTENANCE TO CONNECTION
����p� � a +.,�ho Warp�service curh stoo bax or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connecfion,the appt�cant,owner,
or the occupant or user of such pre�nLses shat(be tiable far al(�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the prernises. If the propeCty owner requests
maintenance service or repairs be performed 6y 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 3et annua{{y by.an adm{nistcative
policy. tt shatl be the responsibil'dy af the appticant,awner,o�cupant o�user ta perFarm standard maintenance of
• the sewer service line from the premises to the main including debris ciearingar root cutting and to maintain the
water senrice curb stop box for operability and at such height as wiil ensure t6at it remains above the flnished
,,.. .. . .. . . ... � --
grade ofti��lar�d or�rop�rty.�(Re�635,�.;.�5,-t���:� .� _. .._ _.._ ._. ._..