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Request Number: 9321
Public Works Division
Semce Request
Problem Address: 6260 Starlite Bl Requested By: Amaila Brown
Department: WATER Address: No address provided
Problem/Issue: INSTAI,L AI�+IIt ME1ER Phone Number. 612-226-3431
Scheduled Date: 2014-11-04 Scheduled'ITime: 02:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N:
Old meter# 19759089 Old reading•099 10 New meter#44922111 ERT#35171684
Status: Completed Resident Contacted 1'�
DateCompleted: 2014-11-04 Completedby: RyanJohnson
Hours
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Request Number: 9321
Public Works Division
Service Request
Problem Address: 6260 Stazlite Bl Requested By: Amaila Brown
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-3431
Scheduled Date: 2014-11-04 Scheduled TSme: 02:00:
' �
ACTTON NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-29 �
ACTION TAI�N:
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Status: In Progress Resident Contacted � '
Date Completed: Completed by:
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� City of Fridiey
_ _ . -� Watpr uepartment
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6431 Universiiy Avenue NE ��
Fridley,MN 55432 .
(763)572-3566
I/we hereby authorize the�t1i��d��11 andJor its
empioyees to do what is necessary to replace the water meter. i understand that the praperty owner
_is liabte for the water line from the main to the premise and ali interior plumbing. (Per ISty caie
402.06) I alsa hoid the C'ity of Fridley and/it�empioyees harmless r any amages ma -
while doing this aperation. This to include,but nat limited to;vah►es,piping,walls,floors or the curb
stap box and seroice line. !uederstand 1 am aiso required to ulrtain a Permit Prior to any work,if
necessary.
flnal meter reading(old meter) � I � lV � �,�
Name: Address: ���c� `�-��� ��"� ��
Phone Number. Date: ����/I�
Signature• L��?''�- �-
Witness Signature: � -' �`►� � —
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FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STORM WATER,AND SANITARY SEWER
ADMINtSTRATIUN
(Ref Ord Na�13f 464,565,566,629,638,662,922,988,1144,1156,1191)
402A5.PERMIT fEE �
Prior to constructing or repair of any water or sewer line connectingthe existing municipal system and any house
or building far which the application is made,the owner or cantractor 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 1Nater and Sewer Department shall be notified. It shall be unlawful to caver any connecting line until an
inspection has been made and such connecCian and the work incident thereta has been approved by the Gty as a
proper and suitable connectlon.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�q�p��..�upe���has hPa►+rnade tr,the water service curh st�box or the sewer lead at the propert'
line or a water service ar sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occi�pant or user of such Premises shall be liable for al(�epairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the prop�tty owner requests
maintenance senrice or repairs be performed by the C(ty,the property owner shall 6e charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a�ate set annually by.an administrative
policy. It shail be the responsi6ility of the applicant,awner,occupantor user to perfarm standard matntenance af
� the sewer service fine from the premises to the main induding debrisclearingor roat cutting and to maintain the
water senrice cur6 stop bnx for operability and at such height as will en�ure that it remains abave the finished
. . .. . .. .. .... . __ ,;. ..
"'grade of�tiie iand vrprd��r�y.-(Re�638,1L55,_1,��3:� _� . .- . .. . . . . _.