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Request Number: 9137
Public Works Division
Service Request
Problem Addressc 6210 Jupiter Road Requested By: Gary Scholzen
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-203-3f09 �
Scheduled Date: 2014-10-16 Scheduled'Iime: 11:30:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Cre�ted: 2014-10-13
ACTION TAI�N:
Old meter#29786390 Old reading• 105 140 New meter�44921151 ERT#35172135
Status: Completed Resident Contacted I!
DateCompieted: 2014-10-16 Completedby: RyanJohnson
Hours
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Request Number: 9137
Public Works Division
Service Request
Problem Address: b210 Jupiter Road Requested By: Gary Schalzen -
Department: WATER Address: No address provided
ProblemJIssue: INSTALL AMR METER Phone Number: 612-243-3609
Schedul 2014-10-16 � Scheduled TSme: 11:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-13
ACTION TAI�N:
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Status: Tn Progress Resident Contacted C3
Date Completed: Completed b •
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� City of Fridley
. _._, WN�x�r RPpartment
...___ .
6431 University Avenue NE . � .' ��:�._
Fridley,MN 55432
(763)572-3566
1Jwe hereby authorize the City of Fridley andJor its
empioyees to do what is necessary to replace the water meter. I understand that the property owner
_._is_liattl�fi�r the water(ine from the main ta the premise and all interior plumbing. (Per C'ity code
4Q2.Q6) 1 also hold the City af Fridley and/its employees harmless or any amages a may�t-
while doing this operation. This tu include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter� �O� '�
Name: Address:,_�4.���/ f'�1 �
Phone Number. Date: /�—(lOr� I
Signatur .
Witness Signature:
�RIDLEY CITY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord hio 113,464,565,566,629,638,662,922,988,1144,1156,1191)
40Z.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such cannectfon has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover 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 MAINTENANCE TO CONNECTION
-Aft�tb�-iaitialcoanect�on ha�hPen made to the water setvice cur6 stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properryline for connection,the applicant,owner,
or the�cwpant or user of such premises shall be liable for ail�epairs required to any water line and sewer lines
necessary for connection of the premises ftom the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the property awner 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 shall be the responsi6ility of the applicant,owner,occupant or user to perfarm standard maintenance af
• the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the
wat.e.r service curb stop box for operability and at such height as will ensure that it remains above the finished
.. . � ._.__. .__ ..
„•graiPe of tf��land or�roperiy.�(R�F 63�,-13:�5,-t�n3:i _. . .. . .. . . . . _ .