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Request Number: 9156
Public Works Division
5ervice Request
Problem Address: 6211 Starlite Blvd Requested By: Pat'Ihorstad
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-5068
Scheduled Date: 2014-11-19 Scheduled 1Yme: 11:04:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
ACTION TAKEN:
Old meter#99710844 Old reading:O50 150 New meter#44921573 ERT#35159595
Status: Completed Resideat Contacted (""'
Date Completed: 2014-11-19 Completed by: Joseph Katzung
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City of Fndley
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Request T�rpe� Set�er badc-t��he�cic C�►�oain Errt��ci By: Wendy�6att
Q�p Sev� Catia�hlar�e: f'�Th�ar�ad
Address� �6211 STARLlTE BlVD�NE C�ac�€€Phvne: 612-37{?-300Q ��
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Request Number: 9156
Public Works Division
Service Request
Probiem Address: 6211 Starlite Bl�i Requested By: Pat Thorstad
Department: WATER Atldress: No address provided
Problem/lssue: INSTALL AMR METER Phone Number: 571-5068
5cheduledDate: 2014-11-19 C� ScheduledTfine: 11:40:00
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ACTTON NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-10-13
ACTION TAI�N:
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5tatus: In Progress Resident Contacted Q
Date Completed: Completed by:
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- City of Fridtey
. ��: - !��#er�lP�artment
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6431 University Avenue NE
Fridley,MN 55432
(763)5723566
I/we hereby authorize the tity of Fridley and/ar�ts
empioyees to do what is necessary to replace the water meter. I urxlerstand that the property owner
_is liable for the water t�ne from the main to the premise and all interior plurnbing. (Per C'iiy code
401.Q6) i alsa hold the City of Fridiey andJits employees harn�less or any amages may 3��ie-
while doing this operation. This to include,but not limited ta;vabes�pipi�g,wa��s►flours or the curb
stop box and service fine. i unde�nd i arn also required ta obta�n a permit prior to any work,if
necessary.
�inal meter reading(old meter) �`� � �� �L�
Name: Address: a� r1 i {� �VC�
Phane Number: Date:��i 9���
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Stgnature• _�„�
INitaess Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADM1NfSTRATIt3N •
(Ref Ord No 113,464,5fi5,556,629,638,662,922,988,1144,1156,1191�
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or bui{ding for whith the appfication is made,the owner or contracto�shall be required to obtain a permit for such
connettion,and shail pay a permit fee as provided in Chapter 11 of this Code, After such connectien has been
made,the Water and Sewer 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 incfderrt thereta has been approved by the City as a
proper and suitable connection.
402.05.RERA{RS AND MAfNI'ENANCE TO CONNECitON
.q�.�q�p���pe�r��n ha�hAPn rnade to the water service cur6 stop box or the sewer lead at the propert�
line or a water servite or sewer lead has been e�ended to the propertyiine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water tine and sewer lines
necessary for connection of the premises from the main to the premises, If the prop�ccty owner requests
maintenance sen+ice or repairs be performed by the City�the property owner shali be charged for the costs of the
. mainte�ance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
po[icy. It shall be the responsi6ility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main including debris cleari�g or root cutting and to mamtain the
water setvice curh stop box for aperability and at such height as wili ensure that it remains abave the finished
. . . .___ ... ._. .
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