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Request Number: 9167
Public Works Division
Service Request
Problem Address: 6240 Jupiter Rd Requested By: Magadelene'Ihomas
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 571-3278 -
Scheduled Date: 2014-10-15 Scheduled Time: 01:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAKEN: �
Oldmeter#90049381 Oldreading:2103150 Newmeter#��Ised.ol��'asa ERT#35172098
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Status: Completed Resident Contacted 1-
Date Completed: 2014-10-15 Completed by: RyanJohnson
Hours
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Request Number: 9167
Public Works Division
Service Request
Problem Address: 6240 Jupiter Rd . Requested By: Magadelene 1liomas _ .,
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 571-3278
Scheduled Date: 2014-10-15 �.p� Scheduled 15me: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAi�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Complete
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� City of fridley
,:, Water I�epartment _
6431 University Avenue NE � >...��
Fridley,MN 55432
(763)572-�566
i/we hereby authorize the�hl of Fridley and/or its
emp{oyees to do what is necessary to reptace the water meter. I understand that the property owner
ic liabie for the water line 1`ram the main to the premise and all interior plumbing. (Per Ctty code
4U2.06) i also hald the City of Fridley and/its employees harmiess or any amages may c�t"
while doing this aperadon. This to inciude,but nat limited ta;valves,piping,wafls,floors or the curb
stop box and service line. !understand i am aiso required to olrtain a permit prior to any wark,if
necessary.
Finat meter reading(oid meter� �"�`�" ���
Name• Address• � .o � I�
Phone Number. Date: d��t���.,L
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Signature: � �
Witness Signature:
FRIDLEY CtTY C�DE
R 4U2.WATER,ST�RM WATER,M105AN1TARY SEWER
ADMINISTRATION
(Ref Ord Mo 113,454,5fi5,566,G29,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connectirrg the existing municipal system and any house
or building for which the application is made,the owner ar cantractor shatf be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the 1A/ater and Sewer Department shall be notified. It shall be wlawful to cover any connecting line until an
lnspection has been made and such connection and the work incident thereto has heen app�oved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNEt710N
�qg jpi��..�pqryerYinn has�pn rnade to the water serviGe curh stop box or the sewer lead at the propert�
(ine or a water service ur sewer lead has 6een extended to the propertyline for connection,the appficant,owner,
ar the ocwpant or user of such premises sha{{be liabie far all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. if the prop�tty owner request5
maintenance service or repairs be performed by the City,the proPerty owner shall be charged for the cnsts of the
. maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an admtnistrative
policy. it shail be the responsibil"�ty of the appticant,awner,o�cupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water senrice cur6 stop box for operability and at such height as will ensure that it remains above the fin(shed
. . . ._ . . .__ .._ .
„grade of tfi�land or�rop�r[y. (R�635,�,�6,.1�n3:� .. .. . .- - - ._ _ -