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Request Number: 9161
Public Works Division
Service Request
Problem Address: 6110 Starlite Blvd Requested By: Kexmeth Erickson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMEIER PhoneNumber: 571-1057
5cheduled Date: 2014-10-15 Scheduled Time: 10:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�EN:
Old meter#19320054 Old reading 349 30 New meter#44920923 ERT#351?2144
Status: Completed Resident Contacted I�
Date Completed: 2014-10-15 Completed by: Ryan Johnson
Hours
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Request Number: 9161
PubHc Works Division
Service Request
Problem Address: 6110 Starlite Bl�rc.l Requested By: Kenneth Erickson
Department: WATER Axldress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-1057
Scheduled Date: 2414-10-15 Scheduled Time: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Completed b
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- City of Fridley
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6431 University Avenue NE
Fridleyr MN 55432
(763)57Z-3566
i/we hereby authori=e the tity of Fridley and/or its
employees to do what is necessary to replace the water meter. I undentand that the property owner
�s_lial�le for the water line from the main to the premise and all interior plumbing. (Per City code
. 402.Q6) 1 also hold the City'of Fridley and/its empioyees harmtess ar any amages may�it-
white doing this operation. This ta include,6ut not limited to;vaives,pipinB►walts,floors or the curb
stop bax and service line. 1 understand i am also required to ohtain a permit prior to any work,if
necessary. ���� 230
Final meter reading(oid meter) Jf
Name: Address: �Q�! t� G�' "- ' I 1'�� � (/('
Pho�Number Date• 4 ��'I ���J
Slgnature:
Witness Signature:
FRIDLEY CITY CODE
C ER 402.WA7ER,STURM WATER,ANO�4NITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,556,6Z9,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing ar repair of any water ar sewer line connecting the existing municipal system and any house
or building for which the apptication is made,the owner�r contractor shalf be required to obtain a permit for such
connection,and shati pay a permit fee as provided in Chapter 11 af this Code. After such cann�tion has been
made,the Water and Sewer Department shall be notified. it shall be untawful to cover any connecting tine untii a�
inspection has been made and such connecCion and the work incident thereta has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNEC770N
-A#�r�b�ipi#ial.coqpe�ian�has►,��rnade tn the water service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line far connection,the applicant�owner,
or the occupant or user of such premises shall be liable for all repai�s required to any water line and sewer lines
necessary for connection of the premises from the main to the premises, ff the propetty owner requests
maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the
. maintenance and/or repairs, indudi�g any necessary street repairs,at a raCe set annuaUy by.an administrative
poficy. it shall be the responsibifity of the applicant,awner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curh stap box for operability and at such height as wili ensure that it remains abave the finished
. . ._ . . ..__. .__ _
'.'graile of tfie iand vr�ro��t�y.�(Re�638,3,�55,.t�9�:� _.