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Request Number: 8659
Public Works Division
Service Request
Problem Address: 6434 RiverviewTerr Requested By: Sandy Heroux
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phoue Number: H-763-571-8152
Scheduled Date: 2014-08-13 Scheduled 1ime: 02:00:00
ACTTON NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-07-30
ACTION TAI�N: `/
Old meter#7355531 Old readin 436 60 Newmeter#44921255 ERT#35171647
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Status: Completed Resideat Coatacted 1"`
Date Completed: 2014-08-13 Compieted by: Ryan Johnson
Hours
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` Request Number: 8659
Public Works Division
Service Request
Problem Address: 6434 Riverview Terr Requested By: Sandy Heroux
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: H-763-571-8152
SchedWedDate: � Scheduled'I�me:
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ACTION NEEDED:AMR Install
Created by: Cheryl Peliegritt Date Created: 2014-07-30
ACTION TAI�N:
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Status: In Progress Resident Contacted C3
Date Completed: Completed by:
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- City of Fridley
' � Water Department
v G431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��w� hereby authorize the City of Fridley and/or its
employees to do what is r�ecessary to replace the water meter. 1 understand that the property owner
is tiabie for the water line from the main to the premise and att interior plumbing. (Per City code
402.Ob) !also hold the City of Fridley andJits empbyees harmles�o�any amages a may ur �--
while doing this operation. This to include,but not limited to;valves,piping,walis,floars or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(otd meterl 3��� ~ �
Name•
Address: l� ✓" � ���� � ���
Phone Number. Date• V�r ���"�
Signa re:- ,
Witness Sigriature:
FRIDLEY CITY C4DE
CH R 40Z.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(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 line connecting the existing municipal system and any house
or buiiding 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 notified. It shal!be unlawful to cover any connecting(ine until art
inspection has beert made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connedion.
402.06.REPAIRS AND MAlNTENANCE TO CONNECTfON -
q���,a;� � -�• � � m��+�+�*he water service curb stop 6ox 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 a!I repairs required to any water line and sewer 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 properry owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by an administrative
policy. It shall be the responsibil'�ty 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
. _ _-- __ .. .
_._.. ___ . Ref 638;-1136;3�.91)
.. ..�__---�"rade o�f�the land or property ( ___, _ _ . _.,_ __. ._ .._._.. __... __ _ ,__ .___.. __