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Request Number: 8196
Public Works Division Q ' — ��
Service Request I '
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Problem Address: 271 Rice Creek Terr Requested By: Marion Carstens
Department; WATER A�ddress: No address prov9ded
Problem/lssue: INSTALLAMR METER Phone Number: 763-571-8891
Scheduled Date: 201406-25 Scheduled Time: 13:00:00
ACTION NEEDED: InstallAMR
Created by: Julie Horak Date Created: 201406-24
ACTION TAKEN:
Old meter#09513240 Old reading: 62 50 New meter#44921142 ERT#35191783
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Status: Completed Resident Contacted O
Date Completed: 201406-25 Completed by: Ryan Johnsor�
Hours
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Request Number: 8196
Public Works Division
Service Request
Problem Address: 271 Rice Creek Terr Requested By: Marion Carstens
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-571-8891
Scheduled Date: 2014-06 25 Scheduled Time: �",�(� ��Y�
ACTION NEEDED: Install AM
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Created by: Julie Horak Date Created: 201406-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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- City of Fridley
� --- Water Department . -.- .
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to r�place the water meter. I understand that the property owner
is tiahle for the water line from the main to the Q�emise and ali interior plumbing. (Per Gty code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. i understand 1 am also required to obtain a permit pHor to any work,if
necessary.
Final meter reading(old meter) � C �� ��O
Address• �� � . � L e- C��'�i �'L l�/�^
Name• .
Phone Number• Date: ��� ��� t �
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITAttY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144�,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the applicatlo�is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
' made,the Water and Sewer Department shali be notified.: It shall be unlawfui to cover any connecting line until an
inspection has been made and such tonnection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECT'ION
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 line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope�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, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line from the premises to the main including debris clearing or 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)