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Request Number: 8388
Public Works Division
Service Request
Problem Ad@ress: 85 Rice Creek Way Reqaested By: Ron Skarhus
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 502-6857
Scheduled Date: 2014-07-17 Scheduled 1ime: 07:00:00
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2014-07-10
ACTION TAI�N:
Old meter#95890246 Old reading: 1314 80 Newmeter#44921074 ERT#35159883
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Status: Completed Resident Coatacted (""'
Date Completed: 2014-07-17 Compieted by: Ryan Johnson
Hours
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Req uest N u m ber: 8388
Public Works Division
Service Request
Problem Address: 85 Rice Creek Way Requested By: Ron Skarhus
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 502-6857
Scheduled Date: 201407-17 Sche led Time: 07:00:00
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2014-07-10
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Complete by:
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- - - - City af Fridley
_ ._._._.
_ • --- Water Department ._ _.. .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
t/we hereby authorize the C'ity af Fridley and/or lts
employees to do what is necessary to replace the water meter. I understand that the property owner
is 1ia61e for the water line from the main to the premise and al{interiar p{umbing. (Per C'ity code
402.06) 1 also hoid the C�ty of Fridley and/its employees harmless for any damages�at may ouur
while doing this opera�don. This to include,6ut nat l�mited to;valves,piping,uwaUs,floors or the curb
stop box and service 11ne. i understand I am also required tv obtain a permit pNor to any work,if
necessary.
Final meter reading(old meter) � � � � ���
Name• Address• ()� ��� ���' ��
Phvne Number: Oate: �'�I (r !�
Signature:
Witness Signature: -
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMlT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any haus.e
or building for which the application is made,the owner or contrador shall be required to obtain a permit for suth
connection,and shali 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 shali be unlawful ta 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.
4d2.06.REPAIRS AND MAINTENANCE TO CONNECTIOIY
After the initial connection has been made ta the water service curb stop box or the sewer lead at the property
(ine or a water se►vice or sewer lead has been extended to the property Ifie for connectfon,the applicant,owner,
or the occupant or use�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 requesis
maintenance service or repairs be performed by the�ty,the property owner shall be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shatf be the responsibility of the appllcant,owner,occupant or user to perfarm standard maintenance of
� the sewer seniice line from the premises ta the main inctuding 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
g�ade of the land or property. {Ref 638,1156,1191)