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Request Number: 8731
Public Works Division
Service Request
Problem Address: 188-Ri�redge Way Requested By: Tammy Coleman
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL�1MI�METER Phone Number: H-763-572-9216
Scheduled Date: 2014-08-i l Scheduled Time: 01:30:00
ACITON NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-08-06
ACTION TAI�N: �
Old meter#99183837 Old reading: 116 00 New meter#44921251 ERT#35171770
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Status: Completed Resident Contacted 1"�
Date Completed: 2014-08-11 Completed by: Ryan Johnson
Hours
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Request Number: 8731
Public Works Division
Service Request
Problem Address: 188-Riveredge Way Requested By: Tammy Coleman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: H-763-572-9216
Scheduled Date: 2014-08-11 Scheduled'ISme: 01:30:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-08-06
ACTION TAI�N:
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Status: In Progress Resident Contacted I�
Date Completed: Completed by:
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- City of Fridley
Water Department
� 6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
I/we hereby authorize the�tY of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
i�liable for the water line from the main to the premise and all interior piumbing. (Rer qty code
402.06) 1 atso hold the City of Fridtey and/its employees harmiess for any amages a may oc -----" �-
while doing this operation. This to include,but not limited to;�alves,piping,walis,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit pNor to any work,if
necessary. �� �/� ��
v
Final meter reading(old meter) �'
Address• /1/ U F�t�� �"��"e--� ��
Name• J
Phone Number: Date: U�`��` �
Signature•
' Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the application is made,the owner or contractor shali 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 appr�ved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
.p����.�p��►�nnna�-tinn has hePn made to th���*er 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(iable 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 propetty owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs af 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 sen►ice line from the premises to the main inciuding debris ciearing or root cutting and to rnaintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
__.,.._..__�_ .._:_,—,.-grad�of�he tand orproper�y: (Re€638,7�5,1193j --- = -- -- ._ __. _ � _.. .