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� Request Number: 9191
Public Works Division
Service Request
Problem Address: 101 Satellite Ln Requested By: Nicole Hill
Departmept: WATER Address: No address provided
Problem/Issue: INSTALL AMRMEIER Phone Number: 715-892-0144
Scheduled Date: 2014-10-23 Scheduled Time: 07:30:00
ACTION NEEDED:2014�IIt
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTiON TA1�N: � �'
Old meter#34210897 Old readin : _347 60 New meter#�,3�sad o-td b�s ERT#35172386
g� d
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Status: Completed Resideat Contacted C'"
Date Completed: 2014-10-23 Completed by: Ryan Johnson
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Request Number: 9191
Public Works Division
Service Request
Problem Address: 101 Satellite Ln �..., Requested By: Nicole Hill .a.�..
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 715-892-0144
Sched d Date: 2014-10-23 � Scheduled Time: '
�'� .
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Co ple by:
��'� v r�L�
� City of Fridley
- ,.,, WatPr Department
_
6431 University Avenue NE �
Fridley,MN 55432
(763}57Z-3566
��We hereby authorize the tity of Fridiey and/orits
employees to do what is necessary ta replace the water meter, I understand that the property owner
is liable for the water line from the main to the premise and al)interior plumbing. (Per City code
402.Q6) I alsa hold the City af Fridley and/its employees harmless or any amages a may -
while doing this operation. This to include,but nat limited to;vaNes►piping,walls,floars or the curb
�top 6ax and service line. t underst�and 1 am also required to ohtain a permit prior to any wurk,if
necessary. �� ���
Final meter reading(old mehr) \ J
Name:
Address: /'�l Gr""'" -""'`� C��'Gt�L/
Phone Number: te� ���
Signature•
Witness Signature:
FRIDLEY GTY CODE
PTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRQTION
(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 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 shall be notified. It shall be unlawfut 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 connection. �
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���p����;k���M��+�*�+he water service curh stop bux ur the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the appiicant,owner,
ar the occi�pant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connedion of the premises ftom the main to the premiset. If the prop�tty owner requests
maintenance service or repairs be pe�formed by the City,the property owner shall be tharged for the costs of the
. maintenance andJar repairs, induding any necessary street repairs,at a rate set annually by.an administraUve
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearingor root cutting and to maintain the
water service curb stop box for operability and at such height as wi�i ensure that it remains above tfie finished
. ._ ._ . .,_. --
.,gracf"e of�ti��lard orprop��ty.�jReF 63S,1LS,.t�93:) _. . : _-