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Request Number: 9263
Public Works Division
Service Request
Problem Address: 6430 Starlite Circle Requested By: Tanuny w/Zawadski
Department: WATER Address: No address provided
Problem/Issue: INSTAI.,LAMRMETER PhoneNumber: 651-483-0518
Scheduted Date: 2014-11-03 SchedWed'I3me: 11:00:00
ACTION NEEDED:2014 AMR �
Createdby: WendyHiatt DateCreated: 2Q14-1Q-23
ACTION TAKEN:
Old meter#93107407 Old reading: 570 00 New meter#44922044 ERT#35171668
Status: Completed Resident Contacted I"'"
Date Completed: 2014-i 1-03 Completed by: Ryan Johnson
Hours
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Request Number: 9263
Public Works Division
Service Request
Problem Address: 6430 Starlite Circle Requested By: Tammy w/Zawadsld
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-483-0518
Scheduled Dat 2014-11-0 � Scheduled 15me: 11:00:00
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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: Comp eted
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- City of Fridiey
. : .. Wat,�r iDppartme�t .,.
. _. ._ .
6431 University Avenue NE ��
Fridley,MN 55432
(763�572-3566
I/we hereby authorixe the C�tY of Fridtey andJor its
employees to do what is necessary ta replace the water meter. I understand that the property owner
-is liable fnr the water tine fram the main to the premise and ail i�erior plumbing. (Per qty code
402.Q6y {alsa hald the City of Fridley and/its empioyees harmless r any amages a may -
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand I am also repuired to obtain a permit prior to any work,if
nece�ary.
Final meter reading(old meter) � ��� ��
Name• Address•
�P�� ���`�`' �r7�-c.�
Phone Number: �t�• !`��s��
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Signature:
Witness Signatu e:
FRIDLEY UTY C(7DE
�IiAPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIUN
(Ref Ord Na 113,464,565,566,629,638,662,922,985,1144,1156,1191)
40Z.05.PERMIT FEE
prior to constructing or repair of any water or sewer line connectingthe existing municipal system and any house
ar building for which the application is made,the owner or contractor shall be required to ohtain a permit for such
connection,and shall pay a permit fee as provided in ChaPter 11 of this Code. After 5uch connection has been
made,the INater and Sewer Depa►tment shall be notified. it shali 6e unlawFul to cover any connecting line until an
inspection has been made and su�h conne�tion and the work incident thereto has been approved by the City as a
proper and suttabie connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNEC110N
��p����;,,,e.,�,�.�a r�rhe water service curh stop 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�nwner,
or the occupant or user of such premises shall be liable for all fepairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the propeCty owner requests
maintenance 5ervice or repairs 6e performed by the City,the property awner shall be charged for the costs of the
. maintenance and/or repairs, including any neces�ary street repairs,at a rate set annualiy by.an administrative
poticy. It shall be the responsibil'�ty of the applicant,awner,occupant or user to perform standard maintenance of
• the sewer s�rvice line from the premises to the main including deb�sclearingor root cutting and to maintain the
water service curb stop box fur operability and at such height as will ensure that it remains above the finished
. . . ._ ._ . .--- � --- ,. ..
:.,graife of ti�e land or-prop�rty.�(Re�635,1��5,t�n�:) .. ._ . .. . . . . ' --