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Request Number: 9316
Public Works Division
Service Request
Problem Address: 174 Satellite Ln Requested By: Nick Dennis
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-4334
Scheduled Date: 2014-11-OS Scheduled Time: 08:00:00
ACITON NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N:
Old meter#36350471 Old readin .077 30 Newmeter#44921201 ERT#35171820
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Status: Completed Resident Contacted I'`
Date Completed: 2014-11-OS Completed by: Ryan Johnson
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City of Fridley
water Department
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Name S11r9 /'�vr �P/7/2.�
Date / � 3 �� ,
Old Meter Number ? s >��
Old Meter Readin U� g � �
Replacement No._� �T y��_
Replacement Reading �
Replacement Make r �.�/^—
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Signed
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Request Number: 9316
Public Works Division
Service Request
Problem Address: 174 Satellite Ln Requested By: Nick Dennis
Department: WATER Address: No address provided
Problem/issne: INSTALLAMRMETER PhoneNumber: 763-571-4334
S heduledDate: 2014-11-OS Scheduled'Iime: 08:00:00
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ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N:
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Statns: In Progress Resident Contacted ❑ �
Date Completed: Completed by:
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- City of Fridley
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. �ilater�ieparcrnenc , ,., .
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6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
liwe hereby authori:e the C�tY of Fridtey andJar its
_ employees to do what is r�ecessary#a replace the water meter. I understand that the property owner
_is fiabfe far the water tine from the main t�the premise and a1f interior plumbing. (P�r(�ty cale
402.06j 1 alsa hold the City of Fridley and/ii�empioyees haRnless r any amages ma -
while doing this operadon. This tv indude,but nat iimited to;valves►P�I���•���•��°����
stop box and service line. I understand 1 am also required to olrtain a permit prior to any work,if
necessary.
Flnal meter reading(old meter) ��� �✓ ��
Name• Address• I7 SG:�E��� �"� Lh
Phone Number: Date:���5� 1 H
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Signatu�e• �X�.�3�»�� �L
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Witness 5ignature: � �'
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�FRIDLEY GTY C�DE
CHAPTER 40L WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na�.13r 464,565,566,629,638,662,422,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the eadsting municipai system and any house
or buiiding for which the application is made,the owner ar contractar shall be required to obtain a petmit for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shail be notified. it shall be unlawfui to tover any connecting line until an
Inspection has been made and such connection and the work incidentthereto fias been approved bq the City as a
proper and su'rtable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
, ,,.• ,,...tise.,M��o r�thP water service cur6 stau bnx nr the sewer lead at the propert�
�tde-iaitia�x,,.�
fine or a water senrice nr sewer iead has been extended to the property line far connection,the applicant,uwner,
or the occi�Pant or user of such premises shall be liable for alI�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. lf the propeCty owner requests
maiatenance senrice or repairs be performed by the City,the properly owner shall be charged for the costs of the
. maintenance and/or repairs, inc4uding any necessary street repairs,at a rate set annually by.an administrative
poticy. 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 de6risclearingor root cutting and to maintaln the
water service cur6 stop box for operability and at such height as wiq ensure that it remains abave the finished
. _ __ ._ . .__. . . .._
,:'grac�e of�ti�e land or-propEr4y.��Ret 63S,1�S,t�n�:� �. . ._ --