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. Request Number: 8801
Public Works Division
Service Request
Problem Address: 129 River Edge Way Requested By: John Holst
Department: WATER Address: No ad�ess provided
Problem/Issue: INSTALL A1VIIt ME1ER Phone Number: 571-2389 •
SchedWed Date: 2014-08-20 Scheduled 13me: 02:00:00
ACTiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-18
ACTION TAI�N: �
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Old meter#96529738 Old readin 1705�60 Newmeter#44921363 ERT#35171604
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Status: Completed Resident Contacted M""
Date Completed: 2014-08-20 Completed by: Ryan Johnson
Hours
1�7
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Request Number: 8801
Public Works Division
Service Request
Problem Address: 129 River Edge Way Requested By: John Holst
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 571-2389
Scheduled Date: 2014-08 20 Scheduled Time: 02:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-18
ACTION TAI�N:
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Status: 1n Progress Resident Contacted p
Date Completed: Compl e y:
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• - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566 '
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 unde�stand that the property owner
i�liab e 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 andjits emptoyees hacmless for any amages may o r— ~-�-"- �
while doing this operation. This to include,but not limited to;vaives,piping,walis,floors or the curb
stop box and service line. I understantl I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter} ���/ � ���
Name: Address: �2 ` F�cI� V t�
' Phone Number• Date: UJ����
Signature•
Witness Signat re•
' FRIdLEY CIT1r CODE
CH R 2.WATER,STORM WATER,AND SAN{TARY SEWER
ADMINI5TRATION
' (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 water or sewer line connecting the existing municipal system and any hause
or building for which the application is made,the owner or contrector shall be required to obtain a permit for such
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 shall be unlawful to cover any connecting line until an
inspection has been made and suth conneetion and the work incident thereto has been appr�ved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNEC710N
�������,(�a�hapn made to th�yr,+a.�r��'vice curb stou 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(iable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. ff the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owne�shall be tharged 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,awner,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
__._�:�....---�—�-- ._ __ _ . . .
,.-gratf�`of�Che•tand-orproper4y. tR�#-538,1�:55,119�) .. --_�_:.._-- .._..._.. _�: _---.. . ----_�_ _ _.__ . _ __.- -- _ : .__ _._.,