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Request Number: 8733
Public Works Division
Service Request
Problem Address: 192 Riveredge Way Requested By: Paul Dircz
Department: WATER Address: No address provided
Problem/Issue: INSTALLA1vIItMETER Phone Number: 763-486-3889 ceil
Scheduled Date: 2014-09-10 Scheduled 1Yme: 11:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-08-07
ACTION TAKEN:
Old meter#187�6494 Old readin 3852�530 Newmeter#44921967 ERT#35172287
Status: Completed Resident Contacted i'"
Date Completed: 2014-09-10 Completed by: Pete Gunderson
Hours
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Request Number: 8733
Public Works Division
Service Request
Problem Address: 192 Riveredge Way Requested By: Paul Dircz
Department; WATER Address: No address provided f
Problem/Issue: ' INSTALL AMR ME1ER Phone Number: 763-486-3889 cell
Scheduled Date: 2014-09-10 Scheduled Time: I 1:00:00
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ACTION NEEDED:AMR Install
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Created by: Cheryl Pellegrin Date Created: 2014-08-07
ACTION TAI�N:
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Status: 1n Progress Resident Contacted C
Date Completed: Completed b :
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� - City of Fridiey
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
I/we hereby authorize the�tY of Fridley and/or its
employees to do what is necessary to replace the water meter. !understand that the property owner
i�liahle for the water line from the main to the premise and atl interior plumbing. (Per City code _
402.05) I also hold the Gty of Fridley and/its employees harmless��any amages a may � ---- -�
while doing this operation. This to include,but not limited to;vatves,piping,wa��s.fl°°rs or the curb
stap box and service line. I understand 1 am also required ta obtain a permit prior to any work,if
necessary.
eter readin old meterj ������
Final m B l �, �/�, �
Name: Address. �� '"��'� t:SJCz �"'T'1
' Phor�e Number. Date: —1 ��v �'�
; Signatute• �
Witness Signature:
FRIDI.EY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEINER
ADMINISTRA710N
` (Ref Ord No 113,464,5fi5,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing ar repair of any water or sewer line connectin�the existing municipai system and any hause
or building for which the application is made,the owne�or contrador shail be required to obtain a permit for such
connection,and shalt pay a permit fee as provided in Chapter 11 of this Code. After such connedion has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any connecting line untit 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.REPAtRS AND MAlNTENANCE TO CONNECTION
��x�a��� - �--�--����ade to th�u��tPr service curb stop box or the sewer lead at the propert�
(ine or a water service or sewer lead has been extended to the property line for connect►on,the applicant,owner,
or the occupant or user of such premises shall be liable for aii�epairs required to any water line and sewer iines
necessary for connection of the prernises from the main ta 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
poiicy. 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�+nished
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