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Request Number: 9306
Public Works Division
Service Request
Problem Addresa: 6251 RainbowDr Requested By: John Jacob
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 574-0118
Scheduled Date: 2014-10-31 Scheduied 13me: 11:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-28
ACTION TAI�N: �
Oldmeter#15377957 Old reading: 98 90 Newmeter#44921176 ERT#35171657
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Status: Completed Resident Contacted I'`
Date Completed: 2014-10-31 Completed by: Ryan Johnson
Hours
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Request Number: 9306
Public Works Division
Service Request
Problem Address: 6251 Rainbow Dr Requested By: John Jacob
Department:, WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-0118
Scheduled Date: 2014-10-31 Scheduled Time: 11:30:00
� 1S� � ,
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 ❑
Date Completed: v Com leted y:
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, - � City of Fridiey
_ , ,, _-..: Wat�r Department ,_
. . ._
6431 Uniyersity Avenue NE ��
Fridley,MN 55432
(763)572-3566
i/we hereby authorize the�t1►of fridtey and/or its
employees to do what is netessary#a replace the water meter. I understand that the pnaperty owner
_is.liahfe for the water iine from the main t�the premise and all interior plurnbing. (Per tSty cale
40Z.06� 1 alsa hold the Gty of F�idl�y and/its employees harmless ro� anY�C amages t tl�at ma -
while doing this operadon. This tu include,but nat limited to;valves►P�pi�g,wa��5�floors or the arb
stop box and service line. i understand 1 am also required to obtain a permit prior to any work,if
necessary. � n �
Finai meter reading(old meter)
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Name• Address• � ��� ��-��� �/^
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Phone Number: Date: U� � `
Signature:
Witness Signature:
FRIDLEY CITY CQDE
APTER 4D2.WATER,ST�RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464�565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water ar sewer line connectingthe existing municipal system and any house
or buiiding for which the appticatian is made,the owner or contractorshall be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapter].1 of this Code. After such cannection has been
made.the INater and Sewer Department shall be not[fied. It shall be unlawful to cover any connecting line until an
inspection has been made and such conne�tion and the work incidentthereto has been approved by the Ciry as a
proper and suitable connection.
402.06.REP141R5 AND MAINTENANCE TO CONNECiION
��p������pAn made to the water service cur6 sta�bnx or the sewer lead at the propert�
line or a water service nr sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the�ccupant or user of such premise5 shail be liable for a1I Fepaits required to arry water line and sewer lines
necessary for connection af the premises from the main ta the premises. If the prop�tty owner requests
maintenance 5enrice 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'dy of the applicant,owner,occupant�user to perform standard malntenance af
• the sewer service line from the premises to the main including debrisclearingor raot cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
- - � . . . . . .. .. . .... . ... � .
:,,grade of�ti7e land orpro�erty.�(Re`63�,-Z#55,_1�n1� _. .. . _ _.