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Reguest Number: 8825
Public Works Division
Service Request
Problem Address: 121 River Edge Way Requested By: Brian Hodson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 574-1980
Scheduled Date: 2014-08-22 Scheduled 1ime: 10:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-21
ACTION TAI�N:
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Old meter#88200229 Old readin 182 90 New meter#44922331 ERT#35172069
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5tatus: Completed Resident Contacted J"''
Date Completed: 2014-08-22 Completed by: Pete Gunderson
Hours
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Request Number: 8825
Public Works Division
Service Request
Problem Address: 121 River Edge Way Requested By: Brian Hodson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-1980
Scheduled Date: 2014-08-22 Scheduled 1ime: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-21
ACTION TAI�N:
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Status: In Progress Resident Contacted L1
Date Completed: Completed by:
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- City of Fridley
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 meter. i understand that the properhl owner
;�liable for the water line from the main to the premise and all interior piumbing. (Per City c�e
402.06) I also hold the C'ity of Fridley and/its employees harmiess for an�amages a may �`i` ---- --
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a pecmit prior to any work,if
necessary.
Final meter reading(old meter) � ������
Name: Address: 1�` F��S � �
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PhoneNumber Date: ����'� I
' Signature• � �
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191)
' 402A5.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 cantrador shail be required to obtain a permit for such
connettion,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 shali be notified. It shall be unlawfui 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 CONNECTION
��.�����1��r+np�-t�r,n has haPn rnade to th�•�•�`�r 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 aU 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�epairs,at a rate set annuaily by.an administrative
policy. it shali be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing 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
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