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Request Number: 8892
Public Works Division
Service Request
Problem Address: 17 Rice Creek Way Requested By: Patrick Leong
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-229-2484 cell
Scheduled Date: 2014-09-11 Scheduled'Iime: 09:00:00
ACTION NEEDED:Install AMI.
Created by: Cheryl Pellegrin Date Created: 2014-09-04
ACTTON TAI�N:
Old meter# 10069334 Old reading 477 50 New meter#44922327 ERT#35172336
Status: Completed Resident Contacted C"
Date Completed: 2014-09-11 Completed by: Pete Gunderson
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Request Number: 8892
Public Works Division
Service Request
Problem Address: 17 Rice Creek Way Requested By: Patrick Leong
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone Number: 763-229-2484 cell
Scheduled ate: 2014-09-11 Scheduled Time: 09:00:00
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ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-09-04
ACTION TAI�N:
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Status: in Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the�tY of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code !_
402.06) I also hold the Gty of fridley and/its employees harmiess�or anYaama'ges �a maY�`
while doing this operation. This to include,but not limited to;valves,piping,wa��s,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)
1�� �
Name•
Address• �� �lC✓ ��GA-l� �s`�_
Phone Number Date: �`�l` ��
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Signature:
Witness Signature•
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,635,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to 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 bend the work incident theret'has been app oved by the Gry asI an
inspection has been made and such connect�on a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
��b�p� r service cur6 sto box or the sewer lead at the propert�
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 annuaily by an admin'istrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard meintenance of
• the sewer service(ine 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 finish
_ _ ..
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