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Request Number: 9195
Public Works Division
Service Request
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Problem Address: 6190 Starlite Blvd Requested By: Anise Khatoon
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-270-7125
Scheduled Date: 2014-10-22 Scheduled Time: 11:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-16
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ACTION TAKEN: � �P�
Old meter#87429102 Old readin .276 590 Newmeter#4492113�RT#35172�98
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Status: Completed Resident Con��
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Date Completed: 2014-10-22 Completed by: �� �uG��
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Request Number: 9195
Public Works Division
Service Request
Problem Address: 6190 Stazlite Blvd_ Requested By: Anise Khatoon __ .
Department: WATER Address: No address provided
Problemllssue: INSTALL AMR METER Phone Number: 612-270-7125
Scheduled Date:] � � 2014-10-22 �� Scheduled Time: 11:00:00
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ACTION NEEDED:2014 AMR �
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTION TAI�N:
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5tatus: In Progress � Resident Contacted ❑
Date Completed: Complete y:
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�;�i;� ��'`'�� (' `� City of Fridtey
' ��i� Z��`� Water Department .
�'�� ' 6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
��We heceby authorize the�ty of Fridley and/or its
empioyees to do what is necessary to rep{ace the water meter. i understand that the properly owner
is liable for the water line from the main to the premise and atl interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while daing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to obtaln a permit prior to any work,if
r�ecessary. � � W �
Fina{meter reading(o{d meter)
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Name: Address: �(�� 'J' ""' //,� `�[ v� <
Phone Number• Date� t v �� �
Signature• ''`� ��C �
Witness Signature:
FRIDLEY CITY C4DE
CH 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988,1144,1156, 1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shalt be required to obtain a permit for such
connectivn,and shall pay a permit fee as provided in Chapter 11 of this Code: After such connection has been
made,the Water and 5ewer Department shall be notified. It shall 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 suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initia{cannection has been made to the water service curb stop box or the sewer lead at the p�operty
line or a water service or sewer lead has been extended to the property tine for connection,the applicant,owner,
or the occupant or user of such premises sha11 be liable for all repairs required ta any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propecty owner requ�ests
maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annual{y by an administrative
policy. lt shail be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line from ihe premises to the main including debris ctearing or root cutting and to maintain the
water service curb stop box for aperability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)