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Request Number: 8429
Public Works Division
Service Request
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Problem Address: 23 Rice Creek Way Requested By: Florence Turbak
Department: WATER �kidress: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: 574-7427
Scheduled Date: 201407-23 Scheduled Time: 02:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-14
ACTION TAKEN:
Old meter#10813673 Old reading 269 170 New meter#44921269 ERT#35171775
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Status: Completed Resident Contacted ❑
Date Completed: 201407-23 Completed by: Ryan Johnson
Hours
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Request Number: 8429
Pubhc Works Division
Service Request
Problem Address: 23 Rice Creek Way Requested By: Florence Turbak
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-7427
Scheduled D e: 2 14-07-23 Sch�ule�:�/e: 02:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAI�N:
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Status: 1n Progress Resident Contacted [�
Date Completed: Completed b
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__ __. __. City of Fridle}C
_ . - . Water Department - .. .
6431 University Avenue NE-
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City af Fridley and/or its
employees to do what is necessary to replace the water rr�eter. I understand that the properly owner
is liable for the water line from the main to the premise and aii irrtericr plumbing. (Per City code
4U2.06) I a{so fiold the City of Fridley and/its emplayees harmless for any damages that may occur
while doing this operation. This to include,but not limited ta;valves,piping,walls,floors or the curb
stap!�x and servlce line. i understand 1 am also requfred to obtain a permit prior to any work,if
necessary.
Final meter reading(otd meter) ��� � I � V ,
Name• Address:�'���'e'=�� w
Phone Number: Date: /��J�/�
Signature: -
Witness Signature:
FRIDLEY GTY CODE
C 402.WATER,5TORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1141)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer(ine connecting the existing municipai system and any hous.e
or building for which the appiication is made,the owner or contracto�shaN 6e required to obtain a permit for such
connettion,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 shali be notified. it shall be unlawFul to cover any cannecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitable cannection.
482.06.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 Nne for connectton,the applicant,owner,
or the occupant or user of such premises shall be Ilable for al)repairs required to any water(ine and sewer lines
necessary for conneetion af the premises from the main to the premises. if the prop�cty owner requests
maintenance service or repairs be performed by the�ty,the property owner shall be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shai!be the responsibility of the appllcant,owner,occupant or user to perform standard maintenance of
' the sewer service line from the premises to the main including debris clearing o�root cutting and to maintain the
water service turb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j