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Request Number: 9197
Public Works Division
Service Request
Problem Addreas: 6260 Jupiter Rd Requested By: Steve Sztuk
Department: WATER Address: No address provided
Problem/Issue; INSTALL AMR METER Phone Number: 612-209-2888
Schedul ed Date: 2014-10-23 Schedul ed T9 me: 02:00:00
ACIION NEEDED;AMR install
Created by: Cheryl Pellegin Date Created: 2014-10-16
ACTION TAI�N:
Old meter#37072423 Old readi �233 30 New meter#44921659 ERT#35172357
Status: Completed Resident Contacted I"'
Date Completed: 2014-10-23 Completed by: Ryan Johnson
Hours
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Request Number: 9197
Public Works Division
Service Request
Problem Address: 6260 Jupiter Rd Requested By: Steve Sztuk
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-209-2888
Scheduled Date: 2014-10-23 � Scheduled Time: 02:00:00
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ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-16
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Completed by
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� City of Fridley
_ __, IMatpr Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-9566
I/we hereby authorize the�ty of Fridiey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
_is liable for the water line from the main to the premise and all irrterior piumbing. (Per City code
402.06) !also hold the Ciiy uf Frldley and/its employees harmless or any amages a may�o i -
while doing this operation. This to include,but not limtted to;valves►piping.wa��s,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.
F1naM meter readin old meter ��.� C �O
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Name: Address• lY��� � `� —
Phone Number: Date: `0^�����
Signature:
Witness Signature:
FRIDLEY CITY CODE
C T R 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,985,1144,1156,1191)
402.05.PERMIT FEE
Prior to canstructing ar repair of any water or sewer line connecting the existing municipa!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 shali pay a permit fee as prnvided in Chapte�11 of this Code. After such connection 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
praper and suitable connection.
40x.06.REPAIRS AND MAINTENANCE TO CONNECTI�N
-Aft�r-thaicutial coanec#innhashPp�rna�P tr,the water service curh staa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant�awner,
or the occupant or user of such premises shall be(iabte for alt�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propecty owner requests
maintenance service or repairs be performed by the City,the property awner shail be c�arged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administradve
policy. It shall be the responsi6il'rty of the applicant,awner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main inciuding debri5 clearing or root cutting and to maintain the
water service cur6 stop box for operability and at such height as will ensure that it remains abave the finished
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. . ,. . . ._ . ._.__. ._ .
grade di tfi�land or�roperty.�(Ret 635,_1,�56,.t�n3:� _. .. . .. . . . . _� -