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Request Number: 9259
Public Works Division
Service Request
Problem Address: 223 Satellite Ln Requested By; Erin Bergnaud
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-587-3614
Scheduled Date: 2014-14-24 Scheduled 13me: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N: � �
Old meter#96529718 Old readi 065 150 New meter#Used old btass ERT#35172378
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Status: Completed Resident Contacted f'`
Date Coropleted: 2014-10-24 Completed by: Ryan Johnson
Hours
3► �1
Request Number: 9259
Public Works Division
Service Request
Problem Address: 223 Satellite Ln Requested By: Erin Bergnaud
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone Number: 651-587-3614
Scheduled Date: 2014- 0-24 Scheduled Tfine: 02:00:00
0 . 2��' � �-
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
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Status: In Progress Resident Cont$cted C3
Date Completed: C plet by:
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- City of Fridley
,_ . �latpr Dppartment ,- - ,
. _. ._
6431 University Aveoue NE ��
Fridley,MN 55432
(763)572-3566
I�we here6y authorize the�tY of F�idley andJar its
employees to da what is necessary ta replace the water meter. I understand that the pro�rty owner
_is liable for the water line from the main ta the premise and all interior plumbing. (Per 6ty code
402.06y i alsa hoid the�rty of Fridley andJii�employees harmies� r anY amages a ma �P-
while doing this vperation. This to include,but nat limited M;vaives►Piping,walls,floars�r the curb
stap box and service fine. i understand 1 am alsa required to olrtafn a permit prior to any work,if
necessary.
Final meter readin old mefier ✓ � j��
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Name• Address• �v� _.ee���t1�4�
Phone Number: Date' ����L��`�
Sfgnature:
Witness Signature: . _ __ _.
FRia�r anr coaE
R 402.WATER,570RM WA7ER,AND SANITARY SEWER
ADMlNiSTRAT1aN
(Ref t3rd Nn 113,464,565,566,fi29,538,662,922,988,11A�4,1156,1191)
4Ia2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer tine connecking the e�osting municipal system and any house
or building f�r which the appiicatian is made,the owner ar contractor shall be required ta obtain a permit#or such
cannectiun,and shal!pay a permit fee as provided in Chapter 11 af this Code. After such connectiaa has heen
made,the 1Nater and Sewer Department shall be notified. it shatf be unlawfui to cover any connecting line until an
inspection has been made and such connectian and the wark incident thereto has been appraved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTE�IANCE TO CONNECfI�N
�.�q�Q��na�_r___tinn ha;.heen made n th-water ser�rice cur6 stop bnx or the sewer lead at the properC�
line or a water service or sawer lead has heen extended to the property line for connection+the applicant,owner,
or the eccupant or user af such premises shatt be fiable for all repairs required to any water tine and sewer lines
netessary for connection of the premises from the main ta the premises. ff the propetty owner requests
maintena�ce service or repairs be performed by the Ctty,the prape�ty awner shalt be diarged for the casts of the
. maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by.an admini5trative
poticy. It shall be the responsibiliry of the applicant,owner,o�cupant or user to perform standard maintenance of
• the sewer service line from the premises to the main induding debri5clearingflr root cutting and to maintain the
water service curb stop box for operability and at such height as wiN ensure that it remalns a6ave the finished
. . . .. .. . .... . . ...
:,gracte of tf�e land or�rn��r�y.��Re�63S,-i��S,-1.��3:i _. . ��