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Request Number: 9102
Public Works Division
Service Request
Problem Address: 6221 Starlite Blvd Requested By: Mark Wheeler
Department: WATER Address: No address provided
ProblemlLSsue: INSTALL AMR ME'lER Phone Number: 763-572-0014
Scheduled Date: 2014-10-13 Scheduled ZTime: 02:00:00
ACTION NEEDED:AMR Ittstall
Created by: Cheryl Pellegrin Date Created: 2014-10-0$
ACTION TAI�N:
Oldmeter 3 95118489 Oldreading: 188 70 Newmeter#44920819 ERT#35172388
Status: Completed Resident Contacted I""
Date Completed: 2014-10-13 Completed by: Ryan Johnson
Hours
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Request Number: 9102
Public Works Division
Service Request
. Problem Address: - 6221 Stazlite Bl�l Requested By: Mark Wheeler
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-572-0014
Scheduled Date: 2014-10-13 Scheduled'lime: 02:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: , 2014-10-08
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
Hours
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� - City of Fridfey
' Water Department
6431 Uniuersity Avenue NE
Fridley,MN 55432
(763�572-3566
��We hereby authorize the�ty of Fr+d�eY and/or its
empioyees to do what is necessary to replace the water meter. 1 understand that the property owner
i�liable for the water line from the main to the premise and all interior plumbing. (Per Giiy code
402.06) 1 also hotd the Gty of Fridtey and/its employees harmless for any amages a may -- �--�-- -
while doing this operation. This to include,but not limited to;valves,piping,wall5,floors or the curb
stop box and service line. I understand i am aiso required to ohtain a permit prioc to any wQrk,if
necessary. ��n ���
1 v
F9naf ineter reading(oid meter)
(�Z 2/ S{�vr�� b�v�
Name• Address:_ -
Phone Number. Date: `��( ��" �
Signature•
Witness Signature:
' FRIDLEY CITY CODE
R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord I�o 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer Ifne connecting the existing municipal 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 shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall bend the work inctdent theretol has been app oved by h'e City as a n
inspection has been made and such connect�on a
proper and suitable connection.
402.06.REPAIRS AND MAINTENAIVCE TO CONNECTION ,
�,��q��t,-���+p�+;��ha�t,Pen made to 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 for connection,the applicant,owner,
or the occupant or user of such premues shal{be liabte for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the cnsts 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 perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the flnished
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` gratl�o#thetandor prop�ri.y: �Ref-�38,-11,55,'�:1.4�)_... _ _____.__ . _ __ _. ____ ----- ---- -