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Request Number: 9310
Public Works Division
Service Request
Problem Address: 6270 Jupiter Rd Requested By: Steve Rathke
Department: WATER Address: No address provic�d
Problem/Issue: INSTALLAMRMEIER PhoneNumber: 571-4948
Scheduled Date: 2014-11-04 Scheduled'lime: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-28
ACTION TAI�N:
Old meter#7799369 Old readin 599 30 Newmeter#44921935 ERT#35158994
Status: Completed Resident Contacted I�`
Date Completed: 2014-11-04 Completed by: Ryan Johnson
Hours
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Request Number: 9310
Public Works Division
Service Request
Problem Address: 6270 Jupiter Rd Requested By: Steve Rathke
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4948
Scheduled Date: 2014-11-04 � Scheduled Time: 02:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-28
ACTION TAI�N:
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Status: In Progress Resident Contacted L
Date Completed: Completed by:
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- City of Fridiey
,. . _ : -�... �latPr fiepartm�nt _ _ ,.
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6431 University Avenue NE ��
Fridley,MN 55432
(763)572-3566
i/we hereby authorize the L�tY of F�idley andJor its
_ employees ta do what is necessary#o replace the wate�meter. I understand that the pro�rlY owner
_is_I�able for the water line from tha main ta the premise and all interior plumbing. (Per�ity cade
402.06� I also hold the Giy of Fridley and/its empioyees hanrdess r an� amages ma "
while doing this aperation. This to include,6ut nat limited to;vah►es►R�p��B.+���.���°r the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old met�r) ����0
Name: Address: ��-�U �i•�l�►� i''�-
PhoneNumberc Date: ��I��f`I
Signature�i � ��i�
Witness Signature: '/�'
FRIDLEIf CITY CODE
CHppTER 402.WATER,STORM WATER,ANQ SANITARY SEINER
ADMINISTRATION
� (Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191}
40t.05.RERMIT FEE
Prior to constructing or repafr of any water or sewer line connectingthe existing municipai system and any house
or building for which the application is made,the owner or contractur shall be required to obtain a permit for such
cannection,and shatl pay a permit fee as pravided in Chapte�11 of this Code. After such cannectian has 6een
made,the Water and Sewer Department shail be notified. it shail be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incidentthereto has 6een approved by the City as a
proper and suitable connection.
402.d6.REPAIRS AND MAINTENANCE TO CONNECfION
,p�er�Q�t��n�ed;anha5,.b�n rnade �the water service curh stoa bux or the sewer lead at the propert�
line ar a water service ar sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occiipant or user of such premises shall be liable for all�epair�required to any water line and sewer lines
necessary for connection af the premises ftom the main ta the premises. If the prop�tty owner requests
maintenance senrice 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 shall be the responsibil'�ty of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main incfuding debrisclearingor root cutting and to maintain the
� water service curh stop bax for operability and at such height as wiU ensure that it remains above the finished
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