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Request Number: 8698
Public Works Division
Service Request
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Problem Address: 193 River Edge Way Requested By: Vui Nguyen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-742-8902
Scheduled Date: 2014-08-06 Scheduled Tiroe: 11:30:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-04
ACTION TAI�N:
Old meter#94392218 Old reading 175 60 New meter#44921451 ERT#35171717
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Status: Completed Resident Coatacted ('"`
Date Completed: 2014-08-06 Completed by: Ryan Johnson
Hours
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Request Number: 8698
Public Works Division
Service Request
Problem Address: 193 River Edge Way Requested By: Viu Nguyen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-742-8902
Scheduled Date: 2014-08-06 � Scheduled Time: 11:30:00
ACTION NEEDED:install AMR
Created by: Julie Horak Date Created: 2014-08-04
ACTION TAI�N:
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Status: 1n Progress Resident Contacted Cl
Date Completed: Completed b
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- City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorixe the�ty of Fridley andJor its
empioyees to do what is necessary to replace the water meter. I understand that the properly owner
+s liable for the water line from the main to the premise and all interior piumbing. (Per C'aty code
402.06) I also hold the City of Fridley and/its employees harmless or any amages a may cu ---
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. i understand 1 am also required to obtain a permit prior ta arry work,if
necessary. �� r �
�inal meter readin old meter) �� ���
B�
Name: Address: -,! � — �,
Phone Numb .
Date• �� � ��
5ignature•
Witness Signature:
FRIDLEY CITY CODE
C R 402.WATER,STORM WA7ER,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 or repair of any water or sewer{ine connecting the existi�g municipal system and any house
or building for which the application 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 Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shafl be notifiied. It shati be untawfut to cover any connecting line until an
inspection has bee�made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
A02.06.REPAIRS AND MA1NTfNANCE TO CONNECTfON
����� • rnade to thp+Na*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 liable for all repairs required to any water line and sewe�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 annuafly by an administrative
policy. It shall be the responsibility uf the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris tlearing or root cuttin�and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
_ _ . __-- __ _. .. .
_ .__. ._ .�___..�rade of�F��iand�or property. (Ref 638,-�156,1131)___.. .. . ..._ _