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Request Number: 9461
Public Works Division
Service Request
Problem Address: 6131 Starlite Blvd Requested By: Christine Bauer
Department: WATER Address: No address provickd
Problem/Issue: INSTALL AMR ME'IER Phone Number: 571-5753
Scheduled Date: 2014-11-20 Scheduled Time: 10:00:44
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-13
ACTIUN TAI�N: �
Old meter# 17651211 Old reading: 596 0 New meter#44920956 ERT#35159644
Status: Completed Resident Coatacted I"`
Date Completed: 2014-I 1-20 Completed by: Joseph Katzung
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Request Number: 9461
Public Works Division
Service Request
Problem Address: 6131 Stazlite Blvd Requested By: Cluistine Bauer
Department: WATER Address: No address provided
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Problem/Lssue: INSTALL AMR METER Phone Number: 571-5753
5cheduled Date: 2014-11-20 Scheduled Time: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-13
ACTION TAI�N:
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Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
- ._ ... WatPr Dppartment
_ . _ _,_..._.._
6431 University Avenue NE
, Fridley�MN 55432
(763}57Z-3566
I/we hereby authorize the t�h►of Fridley and/or iix
ernployees to do what is necessary ta replace the water meter. 1 understand that the propertY owner
is 1ia61e for the water line from the main to the premise and all interior plumbtng. (Per Qty code
402.Q6) I.alsa hatd the C"it�t of Fridley and/its empioyees harmless or any amages maY�
while doing this operation. This tu include,but not limited ta;valves►PipinB►wa�ls+fl°°�°r the curb
s#op l�x and service line. 1 under�tand 1 am also required to obtain a permit prior ta any work,if
necessa�y.
Final meter reading(old meter)S���a ��� --
Name: Address: lS't J I ����`r L I`�Q- i��1/�-
Phone Number� Date• ���a-o ��y
Signature•
Witness Signature:
FltIdLEY CITY CODE
�y{Ap�4p2.WQTER,SidRM WATER,AND�4NtTARY SEWER
ADMINiSTRATIUN
(Ref ard No 113,4b4,565,566,629,638,66Z,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any hause
or building for which the application is made,the awner or contractor shall be required to obtafn a petmit for such
co�rrection,and shall pay a.permit fee as pro+rided in Chapter 11 of this Code. After suth cannection has been
made,the iNater and Sewer Department shafl be notified. ft sha{{be untavrful to cover any connecting line untii an
inspection has been made and such connecCion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.d6.REPAIRS AND MAINTENANCE TQ CONNECTI�N
���p�. _ --,a�t�ttio�,ater service cur6 staa hnx nr the sewer lead at the propert�
line or a water service or sewer iead has been extended to the propertyline for connecfion,the applicant�owner,
or the ocwpant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the prop�tty oamer requests
maintenance service�r repairs 6e performed 6y the City,the property owner shall be d�arged for the costs of the
. maintenance and/or repairs, including any necessary street repair�,at a rate set annually by an administratfve
policy. ft sha11 be the responsibil+ry of the applicant,owner,occupant or user to perfarm�tandard maintenance of
- the sewer service line from the premises ta,the main induding de6ris clearing or raot cutting and to maintain the
water service curh stop box for operabilit�hd at 5uch height as will ensure that it remains above the finished
- � �,.Z���:) . . . - -
"'grade of�tii�tar,d os-prop�riy.�(Ref 63�,�5 .� . . . - �
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