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Request Number: 8562
Public Works Division
Service Request
Problem Address: 75 Rice Creek Way Requested By: Heidi Ferris
Department: WATER Address: No ac�ress provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 763-516-3513 �
Scheduled Date: 2014-07-29 Scheduled Time: 10:30:00
ACTiON NEEDED:2014 E11VIIt
Created by: Wendy Hiatt Date Created: 2014-07-22
ACTION TAKEN:
Oldmeter#23818692 Oldreadin 737 00 Newmeter#44922073 ERT#35159690
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Status: Completed Resident Contacted 1"'
Date Completed: 2014-07-29 Completed by: Ryan Johnson
Hours
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Request Number: 8562
Public Works Division
Service Request
Problem Address: 75 Rice Creek Way Requested By: Heidi Ferris
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-516-3513
SchedWed Date: 2014-07-29 SchedW ed'Iime: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-22 •
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Complete by:
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, - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless�or any amages a may oc u -�
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service iine. i understand i am atsa required to obtain a perm9t prior to any work,if
necessary. �� �
Final meter reading(old meter) �
Name:�,'�i� +t�'L S 1�i Address: �.� ��- C�����
Phone Number•�I 4-�j �l'� ?vS�3 oate: ` ����/�
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Signature•
�tness Signature:
FRIDLEY CITY CODE
CHA 402.WATER,STORM WATER,AND SANITARY 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 vuater or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shail be required to obtain a permit for such
coonection,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 connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON
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�__�..,,.,.,,,.�e+„*ha�,,,�ror service curb stop 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 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"�f tFie land or pr ap�rt�+. (Ref 638,1156,2191) ._ . _ .