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Request Number: 8695
Public Works Division
Service Request
Problem Address: 176 River Fdge Way Requested By: Dennis Cmililke
Department: WATER Address: No ad�dress provided
Problem/Lcsue: INSTALL AMR ME'IBR Phone Number: 571-4680
Scheduled Date: 2014-08-11 Scheduled Time: 08:30:00
ACTiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
A N TAI�N• �
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Old meter# 19453001 01d readin 081 SO New meter#Ustd o1d bress 6ictdy.ERT#3 5171627
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Status: Completed Resident Contacted I"'
Date Completed: 2014-08-11 Completed by: Ryan Johnson
Hours
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Request Number: 8695
Public Works Division
Service Request
Problem Address: 176 River Edge Way Requested By: Dennis Gruhlke
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4680
SchedWed Dat • 2 14-08-11 �Scheduled'I9 08:30:00
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ACTTON NEEDED:2014 AMR
� Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Completed y:
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' - City of Fridley
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. I understand that the property owner
is liabie for the water line from the main to the premise and afi interior ptumbing. (Per City case
402.06) I also hold the City of Fridiey and/its employees harmiess�or any amages a may oc - -
while doing this opera�on. This to irnlude,but not limited to;vatves,piptng,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.
Final meter reading(old meter) O �/� � ��
Name• Addresr �� �Y� E �
Pho
ne Number: Date• ' �'�`I��
.�-
Signature•
Witness Signatuse:
FRIDLEY C17Y CODE
CHqpT .WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
40Z.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
• or buiiding for which the appiication is made,the awner or contractor sha(I be required to obtain a permit for such
connection,and shall 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 b�en 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
�� . .�._ _____..__� ►, .,.„�.�o+.,rhp�•�ater service curb stop box or the sewer lead at the propert-
line or a water service or sewer lead has been extended to the properry line for connection,the applicant,owner,
or the occupant or user of such premises shall be iiabie 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 pert'ormed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy by an administrative
policy. It shall be the respon$ibility 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
_ . . __ ._. . _ .
_... ___ . ._.. _ _
_...grade of Yhe I�nd or property. (Ref 63�;�136;-119�}_. _ _ _. _. _. __ �_-- ... __. __.. .. _ _ . _..---_.___