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Request Number: 8705
Public Works Division
Service Request
Problem Address: 165 River Edge Way Requested By: Donald Washington
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-0597
Scheduled Date: 2014-08-06 Scheduled Time: 11:00:00
ACTiON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-OS
ACTION TAI�N:
Old meter# 18619920 Old reading:O51 30 New meter#44921452 ERT#35171711
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Status: Compieted Resident Contacted 1`
Date Completed: 2014-08-06 Completed by: Ryan Johnson
Hours .
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Request Number: 8705
Public Works Division
Service Request
Problem Address: 165 River Edge Way Requested By: Donald Washington
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-0597
Scheduled Date: 2014-08-06 � Scheduled Time: 11:00:00
� r
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-OS
ACTION T.�I�N:
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Status: In Pro�ess Resident Contacted ❑
Date Completed: Compl ted 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�ty of Fridfey and/or its
empioyees to do what is necessary to replace the water meter. I understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also hold the Gty of Fridiey and/its employees harmless or any amages may oc r ---
while doing this opera�on. This to include,but not limited to;valves,piping,walls,flcors or the curb
stop box and service line. I understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) `�� �� ��
Name: Address• �Y�Y �
Phone Number: Date:
g-(o- l�
Signature:
Witness Signature•
FRIDLEY CITY CODE
C 4Q2.WATER,STORM WATER,AND 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 oc repair of any water ar sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall 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 shail be unlawful 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
�AfitBr_the-initiaLrAnnection h���P�n made to th�water service cusb 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 liabfe for alt 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 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 fram 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 the fand or property: (��f 638;-1135;1191) .. _ _ _. . _.___. _ _ . ____. .