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Request Number: 8291
Public Works Division
Service Request
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Problem Address: 270 Rice Creek Terr Requested By: Bruce Brotten
Department: WATER Address: No address provided
Problem/lssue: INSTALLAMR METER Phone IYumiser: 763-571-0785
Scheduled Date: 201407-10 Scheduled T1me: 11:00:00
ACTII?N NEEDED:AMR Install
Created by: Cheryl PeUegrin Date Created: 201406-30
ACTION TAKEN:
Old meter#88198191 Oid reading: 95 60 New meter#44921191 ERT#35159576
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Status: Corr�leted Resident Contacted O
Date Completed: 201407-10 Completed by: Ryan Johnson
Hours
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Request Number: 8291
Public Works Division
Service Request
Problem Address: 270 Rice Creek Terr Requested By: Bruce Brotten
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-0785
Scheduled Date: 2014-0 -10 Scheduled Tirr�e: 11:00:00
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ACTION NEEDED: AMR Install
Created by: Cheryl Peflegrin Date Created: 2014-06-30
ACTION TAKEN: '
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Status: In Progress Residerrt Contacted �
Date Completed: Completed b :^
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- City of Fridley _
• --- Water Department ._ _.. .
6431 University Avenue NE-
Fridley,MN 55432
(763)57Z-3566
f/we hereby authori=e tfie City of Fridfey andiur its
employees to do what is necessary to repiace the water meter. I understand that the propertY flwne�
is liabte far t!►e watec line ftom the main to the premise and all inte�ior plumbing. (Per qty code
40Z.06) 1 also hold the Gty of Fridley and/its employees hannless for any damages that may occur
while doing this operataon. This to include,but not limited ta;va�ves,pipin�,walls,floors or the�vrb
stop box and service line. 1 unders#and I am also required to obtain a permit pHar to any work,if
necessary.
Final meter reading(old meter) l ! �� � �lJ -
Name• Address' ��V NI� �./u•l� �'�./�l�
Phone Number: Date: !�` �` �
Signature: �
1Nitness Signatur :
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FRIDLEY qTY CUDE
CHAPTER 40Z,WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
4Q2.05.PERMtT FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any houte
or building for which the application is made,the owner or contractor shall be required ta obtain a permit 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 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
proper and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connecGon has been made ta the water service curb stop box or the sewer lead at the property
(ine or a water senrice or sewer lead has been extended to the property line for connectfon,the appiicant�owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary fo�connection of the premises from the main to the premises. If the prop�cty owner requests
maintenance service o�repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs�at a rate set annually 6y an administrative
palicy. It shall be the responsi6il'�ty of tha appiicant,owc►er,oc�upant or user ta petform standard maintenance.uf
' the sewer service line from the p�emises tn the main including deb�is clearing ar root 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 the land or property. (Ref 638,1156,1191)