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Request Number: 8240
Public Works Division
Service Request
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Problem Address: 220 Rice Creek Terrace Requested By: Ethel Dzubay
Department: WATER Address: No address provided
Problemltssus: INSTALLAMR METER Phone Number. home only 763-571-3268
Scheduled Date: 201407-08 Scheduled 7'ime: 08:00:�
ACTION NEEDED: Instan AMR
Created by: Cheryl Pellegrin Date Created: 201406-25
ACTION TAKEN:
Old meter#14723857 Old reading: 78 70 New meter#44922032 ERT#35159593
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Status: Completed Resident Contacted ❑
Date Completed: 201407-08 Completed by: Ryan Johnson
Hours
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Request Number: 8240
Public Works Division
Service Request
Problem Address: 220 Rice Creek Terrace Requested By: Ethel Dwbay
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: home only 763-571-3268
Scheduled Date: 2014-07-08 � Scheduled Time: 08:00:00
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ACTION NEEOED: Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-06-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet d y:
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- City of Fridiey
. . _,. Water Department . �... _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
f/we hereby author):e the City of Fridley 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 aN iMerior piumbing. (Per City code ::�
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
whife doing this operation. This tfl include,but not limited to;valves,piping,wails,���or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Pinal meter reading(old meter) � �� ��`�
Name: Address• �� ��' ���e� ���,
Phone Number: Date: .( ��� `
Signature•
Witness Signature:
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FRIDLEY G7Y CODE
CHAPTER 402.WATER,S70RM WATER,AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,565,629,638,662,922,988,1144,11.56,1191)
402.05.PERMIT FEE
Prior to constructing or repair af any water or sewer line connecting the existing municipal system and any house
or buiiding for which the application is made,the owner or contractor shaN be required to obtain a perm9t for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to caver 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
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property Ilne for connedfon,the applicant,ownert
or the occupant or user of such psemises shall be liable for ail repai�s required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, inc{uding any necessary street repairs,at a rate set annuaNy by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewe�sen+ice line from the p�emises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operabifity and at such height as will ensure that it remains above the fis�ished
grade of the land or property. (Ref 638,1156,1191)