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Request Number: 9060
Public Works Division
Service Request �
Problem Address: 6231 Starlite Blvd Requested By: Mr Searle
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 571-3355
Scheduled Date: 2014-10-08 Scheduled'IYme: 14:30:00
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N: X ✓
Oldmeter#17651212 Oldreadin �048 530 Newmeter#��3��loldbrass ERT#35159777
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Status: Completed Resident Contacted 1""
Date Completed: 2014-10-08 Completed by: Ryan Johnson
Hours
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Request Number: 9060
Public Works Division
Service Request
Problem Address: 6231 Starlite Blvd Requested By: Mr Seazle
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 571-3355
Scheduled Date: 2014-10-08 � Scheduled Time: 1030:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Completed b
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. City of fridley
_. _ . _ _ Watec Department
_ ._._ - _ ..--- __ _
6431 University Avenue NE
Fridley,MN 55432
(763}572-356G
��We hereby authorize the CstY af Fridtey and/or its
employees to do what is necessary to replace the water meter. I understand that the property'owner
;s Iiable fi,r thP W�er line from the main to the premise and att iMerior plumbing. (Per C�ty tode
402.06) {a{so fiold the City of Fridley and/its employees harmless or any amages a ma�-
while doing this operation. This ta include,but nat limited to;vatves,piPing,watls�floors or the curb
�top box and service line. I understand I am atso required to obtain a perrnit prior to any wark,if
necessary. � IJ �O �� �
Final meter reading(oid meter) ���� C�' `Y"' �*'�-G=1V�
Name�
Address• t
• ^ / �
phone Number: te: v ` --------
Signature• -
Witness Signature:
FRIDI.EY UTY CODE
CF1ApTER 402.WA'iER,STORM WATER,AN�SAN�TARY SEWER
ADMlNISTRA'T�ON
(Ref Ord No 113,464,565,566,G29,638,662,922,988,11�44,1156,1191)
402.05.PERMIT FEE
P�inr to cvnstructing or repair of any water or sewer line coc n actor shal be equired o`obtain a permit forsuch
ar building for wh�ch the application is made,the owner o
connectian,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shail be unlawful to cover any connecting line untit an
inspection has been made and such connection and the work incident thereto has heen app�oved by the City as a
proper and suitable coanection.
4p2,06,[tEPA1RS AND MAINTENANCE TO CONNECTION
������a� -�-�-��^••-�*��service curb stop box or the sewer_lead at the propert�
iine or a water service or sewer lead ha5 been extended to Che property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for afl�epairs required to any wato�Inner re ��,r�ines
necessary far connection of the premise5 from the main ta the premises. If the prop�[ty 4
maintenance service or repairs be performed by the City�the propertY awner shatl be charged for the cnsts of the
maintenance and/or repairs, including any necessarY street repairs,at a rate set an�uafty by.an administratrve
policy. lt shall be the responsibil'�ty of the applicant,owner,occupant or use�tu pecFo�m standard maintenance af
• the sewer service(ine from the premises to the main including debris clearing or root cutting and to maintain the
water service cur�stop box for operab9lity and at such height as will ensure that it remains abave the finished
_ ._. .
- .. . ._ . _
Rei 63$,-���,..1.1�3�:) __ . _ .._. _ .... ..._...
"`grade of tfr�land or�rop�t�tY•
_ - -..._ ._.. __ ....._