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Request Number: 8769
Public Works Division
Service Request
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Problem Address: 152 River Edge Way Requested By: George Pragal
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR MET'ER Phone Number: 574-2680
Scheduled Date: 2014-08-12 Scheduled Time: 01:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-12
ACTION TAI�N: �
Old meter#33248054 Old readin : 12 250 New meter#44921252 ERT#35171635
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Status:� �� Completed Resident Contacted r
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Date Completed: 2014-08-J/1 Completed by: Ryan Johnson
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Request Number: 8769
Public Works Division
Service Request
Problem Address: 152 River Edge Way Requested By: George Pragal -
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone N�unber: 574-2680
SchedWed Date: 2014-08-12 Scheduled'I�me: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: � 2014-08-12
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Co plet by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
IJwe hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liabie for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) I also hold the Gty of Fridley and/its employees harmless or any amages a may occu ----�—
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Pinal meter reading f oid meter)�, � " �
Name•
Address: l �� '�'"'" � �
Phone Number• Date; '"✓�`
Signature: `
Witness Signature:
FRIDLEY CITY CUDE
CHA R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(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 house
or building for which the application is made,the owner or contractor shail 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 shalt be unlawful to cover any cannecting 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 connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON
_q�te-�-tpg-iaitia!topnectina has h�n rnade YQ the water 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 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[ly 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 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
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grade of tfie I�nd or pr�perty:{itef 635,1156,11g1} � --- --- - - •- ----