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Request Number: 9222
Public Work9 Division
Service Request
Problem Address: 6181 Starlite Blvd Requested By: Dawn Fer�lman
Department: WATER Address: No address provided
ProblemlTssue: INSTALL AMR METER Phone Number: 612-816-2167
Scheduled Date: 2014-10-27 Scheduled Zime: 08:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
ACTION TAKEN:
Old meter#88136416 Old reading: 1510 40 New Meter#44921591 ERT#35112403
Status: Completed Itesident Contacted i''
Date Completed: 2014-10-27 Compieted by: Pete Gunderson
Hours
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Request Number: 9222
Public Works Division
Service Request
Problem A,ddress: 6181 Stazlite Blvd_ Requested By: Dawn Ferdelman -
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-816-2167
Schedul d Date: 2014-10-27 SchedWed TSme: 08:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
�CTION TAI�N:
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;;�1� 5tatus: in Progress Resident Contacted Q
Date Completed: Completed by:
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- City of Fridley
. _ _ ..:. .: __..,_ ,. ��terDep��rtment
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_ _._._ _ �.,..._
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the t�fi►of Fridiey and/or its
employees to do what is necessary ta replace the water meter. I understand that tl�e property owner
_is liable for the water tine from the main to the premise and all interior plumbing. (Per Ciiy code
402.06) 1 alsa hold the Ciiy of Fridley and/its employees harmless or any amages a may�o.�'
while doing this operetlon. This to include,but not limited to;vah►es,piping,wafls,floors or the curb
step box and service line. I understand i am also required to abtain a permit prior to any work,if
necessary. � �L� �
Final meter reading(old meter) l `�
Name: Address• ��[l � ����,�� "W D
Phone Number: �te;_ rb� _,�
Signature:
Witness Signature•
FRIDLEY CtTY C�DE
CHAPTER 402.WATER,5TC1RM WA7ER,AND SANITARY SEWER
ADMINISTRATIUN -
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191J
402.05.PERMIT FEE
Prior to constructing or repair ofi any water or sewer tine connecting the existing municipa{system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shalf pay a permit fee as pruvided in Chapter 11 of this Code. After such connectlon has been
made,the 1Nater and Sewer Department shall be notified. It shail be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connectian.
402.06.REPAIRS AND MAINTENANCE TQ CONNECTION
���q������t,�p�MadP#�rhe water service cur6 stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properryline for connection,the applicant,awner,
or the ocwpant or user of such premises sfiall be liable far all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the prapg�ty owmer requests
maintenance senrice or repairs be performed by the City,the property owner shall be charged for the co�ts of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsibility of the applicant,awner,occupant or user to pe�form 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 cur6 stop box for ope�abiliry and at such height as will ensure that it remains abave the finished
. _, _ . ._ . .__. .._ .
„graiie of tfi�land or�rop�tty. (ReF 63�,_],�5,-t��3:) .... . . .. . . . . . . --