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Request Number: 9079
Public Works Division
Service Request
Problem Address: 6101 Starlite Blvd Requested By: Bill Fink
Department: WATER Address: No address provided
Problem/Issue: INSTALL A1vIIt METER Phone Number: 571-4428
Scheduled Date: 2014-10-08 Scheduled'ISme: 11:00:00 �
ACTION NEEDED:2014�MR
Created by: Wendy Hiatt Date Created: 2014-10-07
ACTION TAKEN:
Old meter#8�826328 Old reading: 33 20 Newmeter#44920922 ERT#35159550 .
Status: Completed Resident Contacted 1"''
Date Completed: 2014-10-08 Completed by: RyanJohnson
Hours
'J /�.
Request Number: 9079
Public Works Division
Service Request
Problem Address: 6101 Starlite Blvd Requested By: Bill Fink - -
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4428
Scheduled a : 2014-10-08 � Scheduled Time: 11:00:00
� `
ACTION NEEDED:2U 14 AMR
Created by: Wendy Hiait Date Created: 2014-10-07
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet
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- City of Fridley
_- Ullater Dgpartment _
6431 University Avenue NE y
Fridley,MN 55432
(763)572-3566
��We hereby authori:e the Lity of fridle�►a�d/or its
employees to do what is necessary to replace the water meter. 1 understand that the praperty owner
�����h�p�r the water line from the main to the premise and ail interior plum6ing. (Per C'ity code
4U2,Q6) 1 also hold the Gty of Fridley and/its employees harmless ar any amaBes ffiat may oc�P
while doing this operation. This to inciude,but not limited to;vah�s.p�pi��,wails,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. � ��
r readin old meter) ` J� �
Final mete g( �� � )��
Addr�s: �[ �I �,
Name: ��
Phone Number: Date• `��' ,
5ignature�
Witness Signature:
%' FRIDLEY CITY CaDE
ER 402•WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4UZ.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the exi�ting municipal system and any house
or building for which the application is made,the owner or contrecto�shall be required to obtain a permit for such
connectia�n,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shail be unlawful to cover any connecting line untit an
inspection has been made and such connection and the work inctdent thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���� service curb sto box or the sewer lead at the propert�
line or a water servite or sewer lead has been extended to the property line far connection,the applicant,owner,
or the occupant or user of such premises sfiall be liable for all repairs required to any water iine and sewer lines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed 6y the City,the property owner shall 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. It shall be the responsibility of the appli�ant,owner,occupant or user to perform standard maintenance af
the sewer service line from the premises to the main including debris clearing or roat cutting and to maintain the
water service curb stop box for operability and at such height as wifl ensure that it remains above the flnished
. . � . -
- Re€63S,-L155,-t���:� .-� .. . _ . . ...
"grade of ti►e land ar-�ropetiy.�
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