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Request Number: 8710
Public Works Division
Service Request
Problem Address: 124 River Edge Way Requested By: Raymond Ruainski
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 57I-3963
Scheduled Date: 2014-08-12 Scheduled'Iime: 01:30:00
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-08-OS
ACTTON N: ✓
O1d meter��6547092 01d reading 071 l O New meter#Staac braca b�t1yERT#35171636
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Status; Completed Resideat Contacted I"
Date Completed: 2014-08-12 Completed by: RyanJohnson
Hours
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Request Number: 8710
Public Works Division
Service Request
Problem Address: 124 River Edge Way Requested By: Raymond Rucinsld
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3963
Scheduled Dat . 2014-08-12 Scheduled Time� O1_�0•00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-OS
ACTiON TAI�N:
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Status: in Progress Resident Contacted �
Date Completed: Completed by:
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� - City of Fridley
WaCer Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i jwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is fiable for the water line from the main to the premise and all interiar piumbing. (Per Ctty code
402.06) 1 also hoid the City of Fridiey andjits empioyees harmiess ar any amages may u
while doing this operation. This to include,but not limited to;valves,piping,waiis,fioors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� ��� � o
Name: Address:_��Iv'�S ��� lJV_
Phone Number: Date: [���� ` � -
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Signature•
Witness Signature� ��'
FRIDLEY CITY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord IVo 113,464,565,566,629,638,552,922,988,1144,1156,1191)
402.a5.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 apptication is made,the owner or contractor shail be required to obtain a permit for such
connection,and shaA pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalt be notified. It shall be untawful to cover any connecting line until an
inspection has been made ar+d 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 CONNECTfON
��p�r�a�q��inn has�n rnade to the wat�r service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been e�ctended to the property tine for connection,the applicant,owner,
or the occupant or user of such premises shaU be liable for ali repairs required to any water line and sewer lines ,
necessary for connection of the premises from the main to the premises. if the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. 4t shalt be the re�ponsibility af the applicant,owne�,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 operabflity and at such height as wfl!ensure that it remains above the finished
. . _.. _ .. .
_ __._�_ .. _ ..__ . ----grade of the I�nd orproper�y:-(Re�638;�156;1�91) .. _ - -