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. Request Number: 9261
Public Works Division
Service Request
Problem Address: 6420 Stazlite Circle Requested By: Tanvnyw/Zav�adssld
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-483-0518
Scheduled Date: 2014-11-03 Scheduled TTime: 10:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
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ACTION TAI�N: /� �/
Old meter#93107403 Old reading 1414 90 Newmeter#,�sec�oldbrass ERT#35171672
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Status: Completed Resf dent Contacted I`'
DateCompleted: 2014-11-03 Compietedby: RyanJohnson
Hours
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Request Number: 9261
Public Works Division
Service Request
Problem A+ddress� 6420 Starlite Circle Requested By: Tammy wlZawadski ----
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 651-483-0518
Scheduled Date: 2014-11-03 Scheduled TSme: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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� City of Fridley
- - . � Wat�r DpparEmpnrt . ,
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6431 Univer�ity Avenue NE
Fridley,MN 55432
(763�572-3566
Iiwe hereby authori:e the t�h►��dley andJor its
employee5 io du what is necessary to replace.the water meter. I understand that the property owner
__is liahle for the water tine from the main to the premise and all interior plumbing. (Per�ty cade
402.06) t also hold the Gty of Fridley and/its employees harmless r any amages ma -
while doing this operati�n. This to include,but nat limited to;vah►es,Piping.wa�ls.floors or the curb
stop box and senrice line, i understand i arn also required to obt�n a permit prior to any work�ff
nece�ary.
final meter reading(old mefier) ��l�� �O
Name: Address:� `� - " ��� �-f���
Rhane Number: Date: �/ ����
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Signature• '
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Witness Signature:
FRIDLEY CITY CODE
C APTER 402.WATER,STORM WATER,AN�SANITARY SEWER
ADMINfSTRATIdN
(Ref Ord Na 113,464,565,Sfi6,629,638,662,922,988,1144,1156,1191)
4(a2.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line 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
connectian,and shali pay a permit fee as provided in Chapter 11 of this Cade. After such cannection has been
made,the iNater and Sewer Department shafi be notified. It shall be unlawful to cover any cannecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AIdD MAINTENANCE TO CONNECiION
�.�p���d�as h�n made to the water service cur6 stoa bnx 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,awner,
or the�ccupant or user af such Premises shall be liable far all�epai�required to any water line and sewer lines
neces5ary for connection of the premises from the main ta the premises. If the prop�Cty owner requests
maintenance senrice or repairs be performed by the City,the property owner shall 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. tt s6atl be the responsi4ility of the applicant,owner,occupant or use�to perfarm standard malntenance of
' the sewer service line from the premises to the main inc{uding debrisclearingor root cutting and to maintain the
� water service curb stnp 6ox far operabiliry and at such height as wiq ensure that it remains abave the finished
. . _ . ,,.
,:'grade of�t�7e land orpro��r�y.�(Rei63o,-Z�.55,.t���:� --