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Re uest Nu�amb1erl 8694
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Public Works Division
Service Request
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Problem Address: 157 River Edge Way Requested By: Linda Borman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4479
Scheduled Date: 2014-08-OS Scheduled Time: 08:00:00
ACTTON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N:
Old meter#40413571 Old reading: 40 30 New meter#44921281 ERT#35171887
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Status: Completed Resident Contacted I—
Date Completed: 2014-08-OS Completed by: Ryan Johnson
Hours
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Request Number: 8694
Public Works Division
Service Request
, Problem Address: 157 River Edge Way Requested By: Linda Borman
Department: WATER Address: No address provid�ed
Problem/Issue: INSTALL AMR METER Phone Number: 571-4479
Scheduled Date: 2014-08-OS Scheduled Time: 08:00:00
U�eScC �`` c�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N:
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Status: inProgress ResidentContacted �
Date Completed: Complete
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. ' - City of Fridtey
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 understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmiess or any amages a may u �---
while doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
stop bax and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Fina!meter reading(old meter) � � O� � �O
Name: Address:_,��� �J�'Y �"+'�"� C��
���� !� �%
Phone Number: Date:_�. l
Signature• '�
Witness Signature:
FRIDLEY CITY C�DE
CHA ER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION _
(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 fo�which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shali pay a permit fee as provided in Chapte�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
fispection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�{��q�� � � ���+�*�*hQ 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�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. ff the prope[iy owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the responsibility of the applicant,owner,occupant or use�to perform standard maintenance of
• the sewer senrice line from the premises to the main including debris clearing or root cutting and to maintain the
water serv+ce curb stop box for operability and at such height as will ensure that it remains above the finished
_ _ _ . ._ _ _
" �� - ' `�"gra�e of the lar�d or property: (Ref 638,i�:5b;1�9�) - - ----