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Request Number: 8621 '
Public Works Division
5ervice Request
Problem Address: 6418 RiverviewTerrace Requested By: Igor Leshkovich
Department: WATER Address: No address provided
ProblemlLcsue: INSTALL AMR METER Phone Number: 612-232-3881
Scheduled Date: 2014-07-30 . Scheduled 15me: 11:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-28
AC'CION TAI�N:
Oldmeter#36005576 Oldreading: 11 80 Newmeter#44921311 ERT#35159653
Status: Completed Resident Coatacted 1'"
Date Completed: 2014-07-30 Compieted by: Ryan Johnson
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city of Fridley
Water Department
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Request Number: 8621
Public Works Division
Service Request
Problem Address: 6418 Riverview Terrace Requested By: Igor Leshkovich
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-232-3881
Scheduled Date: 2014- 7-30 � Scheduled Time: 11:00:00
` 3� � � �' ro
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-28
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Comple ed by:
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� City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/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 liable for the water line from the main to the premise and all interior piumbing. (Per�tjt code __ __
402.06) I also hold the C'ity of Fridley and/its employees harmless or any amages a may oc ur
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 I am also required to obtain a permit prior to any work,if
necessary. � ��
Final meter reading(old meter) � �� �
Name: Address: l0 I � ��v�� ���
Phone Numbe •. Date: /,��,/�� ( 1
Signature:
Witness Signature: �
FRIDLEY CITY CODE
CHA ER 4 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,b29,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing 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 shali pay a permit fee as provided in Chapte�11 of th9s Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shai)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 connedion.
402.06.REPAIRS AND MAINTENAIVCE TO CONNECTION
a +�+tio
-A#�r-thg-iaitial.connectio�has� water 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 sewer lines ,
necessary for connection of the premises from the main to the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. ft shall be the responsibility of the applicant,ownes,occupant o�user to perform standard maintenance of
- the sewer senrice 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 the land or praperty:-CRef 638,1156,119�j- _. _ . ___ ---------- � __ _ .. _ .__ _.___ ...._. _ ... ._ _..