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Request �Tum�be�8472
Public Works Division
Service Request
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Problem Ekldress: 200 Rice Creek Terr Requested By: Kevin Makie
Department: WA'IER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: I+763-571-6711
Scheduled Date: 201407-24 Scheduled Time: 08:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-15
ACTION TAKEN:
Old meter#36350492 Old reading: 016 50 New meter#��arrb�rass body`ERT#35171697
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Status: Completed Resident Contacted ❑
Date Completed: 201407-24 Completed by: Ryan Johnson
Hours
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City of Fridley
Water Department
Address ��(� �� �t�'t � ��r�
Name_ �!"�� �GR, �.,,�
Date , " a+�� �' 1 �
Old Meter Number ���^ G�� �' �
Old Meter Reading � � � �
Replacement No. � �5��� �
Replacement Reading �
Replacement Make_������j'
Remarks- �I� �,�Q.-✓
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Request Number: 8472
Public Works Division
Service Request
Problem Address: 200 Rice Creek Terr Requested By: Kevin Makie
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: H-763-571-67 t 1
ScheduledDate: 2014-07-24 � 5chedWed'I�me: 08:00:00
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ACTION NEEDED:AMR Instatl
Created by: Cheryl Pellegrin Date Created: 2014-07-15
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete y:
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- City of F�idley
. . _. Water Department .. . :.. .
6431 University Avenue NE-
Fridfey,MN 55432
_ - _ _.__ ___ __ _ _ _ _ _ _ (7fe3�572-3556. _
1/we hereby authorize the Cit�►of Fridfey and/or its
� employees ta do what is necessary to replace the water meter. I uoderstand that the properiy owner
is liable for the water line from the main to the premise and all iMe�ior plumbing. (Per Cityr c�le
402.06) i aiso hold the Gty af Fridley and/its employees harmless for any damages d�at may occur
while doing this aperatian. This to include,but not fimfited ta;valves,piping,wal{s,floors or the curb
stap box and service line. i unders�and i am also required ta obtaln a permit pNor to any work,ff
necessary.
Fina{meter readin�(ald meter} ��`+����� --- -—
Name• address•_� f-� ��'�'��`.c.-'C� �'�✓�
Phone Number: Date: . � vL( �� /
Signature.
_._ __ ._ _ _ _ . _ ___ ._ __- -
Witness Signature:
FRIDLEY CIIY C4DE
R 402,WATER,STORM WATER,ANO S1�NITARY SEWER
ADMINiSTRATION
(ltef Ord No 113,464,565,566,629,638,662�922,988,1144,1156,1191)
402.05.PERMIT�EE
Prior to constructing or repair of any water or sewer line connectin�the existing municipal system and any hous.e
or building for which the application is made,the owner or contractur shall be required to obtain a pemTit for such
connection,and sheli pay a permit fee as provided in Chapter 11 of this Code. After such cannectionfias beer►
made,the Water and Sewer Department shalt be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work inadent thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initia1 wnneetion has been made to the water senrice curb stop box or the sewer lead at the prnperty
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shaii be liable for all�epairs required to ariy water line and sewer lines �
necessary for connection of the premises from the main ta the premises. if the pcop�tty owner requests
maintenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by.an administrative
palicy. ft shall be the responsibif'tt�►of the appiicant,owner,oc�upant or user ta perfarm standard maintenance nf
� the sewer service line from the premises to the main including de6�is clearing or root cutting and to maintain the
,.,�,,,,.�,,,,,;,,,,,,,,.�,�t,..,ti,,,,f„�,,,,o�ti��m,an�at���r_h heieht as wiii ensure that it remains above the finished