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Request Number: 8514
Public Works Division
Service Request
Problem�uldress: 80 Rice CreeK Way Requested By: Susan Squire
Department: WATER Address: No address provided
Problemllssue: INSTALLAMRMETER Phone Number: 763-432-6247
Scheduled Date: 2014-07-24 Scheduled Time: 08:30:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-18
ACTION TAKEN:
Old meter#18423275 Old reading: 046 30 New meter#�te bra�s bod�ERT#35171734
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Status: Completed Resident Contacted ❑
Date Completed: 201407-24 Completed by: Ryan Johnson
Hours
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Request Number: 8514
Public Works Division
Service Request
Probiem Address: 80 Rice CreeK Way Requested By: 5usan Squire
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR MElER Phone Number: 763-432-6247
Scheduled Da : 2014-07-24 Scheduled Time: 08:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet
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- City of Fridley ..
. . --. Water Department . :..
6431 UniversityAvenue NE-
Fridiey,MN 55432
__ _ ___ _ __ _ __ _ _ _ (7G3)5i2=3566 __ _ _ ._
i/we hereby autharize the C�ty of�ridley and/ar its
employees to do what ls ne�essary to repiace the water meter. f understand that the property owner
is liable for the water line from the ma9n to tfie premise and afl irrterior plumbfng. (Per City code
4UZ.06) I a{sa hold the�aty of Fridley and/its empfoyees harmiess for any damages that may occur
while daing this aperation. Tfiis ta incfude,but not limited to;valves,piping,walfs,flaors or d�e curb
stap box and senrice fine. f understand 1 am afso required to obtain a permit prior to any work,ff
necessary.
Final meter reading(old meter) ��� � � v�
Name: Address: �� +�— `� �� �"""'
Phone Number. Oate: ���(
, Signature:
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Witness Signature:
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FRIDLEY CITY CpDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINI5TRATIDN
(Ref Ord No 113,464,565,566,629,638,66�,422,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water ar sewer line connecting the existing municipai system and any hous.e
or buiiding for which the application is made,the owner or contractor shall be required ta abtain a permit for such
connection,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 shail be unlawFul to cover any connecting Ifne until an
inspection has been made and such connection and the work inddent thereto has been approved by the City as a
proper and suitable connection.
4U2.d5.REPAIRS AND MA{NTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer fead at the property
line or a water service or sewer{ead has been extended to the praperty Ilne for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ail�epair�reguired to any water line and sewer lines
necessary for connection of the premises frnm the main to the premises, tf the prop�tty owner cequests
maintenance service or repairs he perfotmed by the City,the property owner shall be cha�ged for the costs af the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annual(y by.an admiaistrative
policy. It:shai!be the responsibility of the applicant,awner,occupant or user ta petFarm standard maintenance of
' the sewer service line from the premises ta the main including dehris clearing ur root cutting and to maintaln the
water service curb 5toq box for operabilitv and at such height as will ensure that it remains above the finished