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' Request Number: 8293
{ Public Wa�ccs D�rtsion
� � Service Request
� Problem Atiti�ess: 281 �ce Creek Ten Requested By: Ka�l Zuk
` Department: WATER Acfdress: No address proWded
Prablemlissue: 1N.STAI.LAAAR METER Phone Number: 763-571-4150
Schetluled Date: 241407-02 3cheduled 7ims: 11:30:OR
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' AGTiON NEEDED: Insta�AMR
� Cre�Eed by: Juhe Horak Date Created: 201406-30
ACT10N TAKEN:
Oid rnete�#38604578 qd reading:025 8Q lVew mater;:�ne bcass boc�ERT#35171815
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8tatus: . Gompletad RasideM Contacted �
Date Completed: 201407-02 Completed by: Rya�Johr�n
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City of Fridley
� ��� 3� Water Department
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�'�3s Address ��:C��� ��
V Name �,/-t��. ��
Date �—(��1� �
Old Meter Number U�t��� 1 ;�
� Old Meter Readin �'��`,�
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Replacement No. � t1'"' �7 34
Replacement Reading�
Replacement Make���
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Remarks: � rn��
Signed
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Request Number: 8293
Public Works Division
Service Request
Problem Address: 281 Rice Creek Terr Requested By: Karl Zuk
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-4150
Scheduled Date: 2014-07-02 Scheduled Time: 11:30:00
ACTION NEEDED: Install AMR � �' � l � �
f^�
Created by: Julie Horak Date Created: 201406-30
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple by:
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- City of Fridley
--- Water Department - - -
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We heceby authorize the Ciiy of Frid�ell and/or its
employees to do what is necessary to replace the water meter, i understand that the RroRertl►o�+►ner
is liable for the water line from the main to the premise and all interior plumbing. (Per C'aty c�de
402.06) i also hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to inciude,but nat limited to;valves,piping,walls,floors or the curb
stap box and service fine. i understand 1 am also required to obtain a permit prior to any wo�k,if
necessary.
Pinal meter reading(old meter� O�" � ���
Address: !�iJ l � � l�r��i ��YY
Name• �
Plw�e Number: Date: `��f� r
Signature•
Witness Signature:
� FRIDLEY CITY CGDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Department shall be notified. It shafl be unlauvful 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 connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property tine for connection,the applicant,owner,
ar 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. ff the prop��ty owner requests
maintenance service or repairs be performed by the City,the property owner shali 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 shaii be the responsibi(ity of the appiicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main inciuding deb�is clearing o�root cutting and to maintain the
water service curb stop box for operability and at such height as wilt ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)