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Request Number: 9232
Public Works Division
Service Request
Problem Address: 6110 Sunrise Dr Requested By: Margaret Malinak
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 571-2999
Scheduled Date: 2014-10-23 Scheduled'lime: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
ACTION TAI�N:
Old meter#87758268 Old readin 236 80 Newmeter#44921941 ERT#35172306
5tatus: Completed Resident Contacted N"`
Date Completed: 2014-10-23 Completed by: Ryan Johnson
Hours
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Request Number: 9232
Public Works Division
Service Request
Problem Address: 6110 Sunrise Dr Requested By: Margaret Malinak
Department: WATER Address: No address provid+ed
Problem/Issue: INSTALL AMR METER Phone Number: 571-2999
Scheduled Date: 2014-10-23 Scheduled'ISme: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt � Date Created: 2014-10-21
ACTION TAI�N:
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Status: In Progress Resident Contacted C7
Date Completeds Completed
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, � City of Fridley
- � .. W�tt�r Dppartment
. _, .._ __., .P.. _.
6431 University Avenue NE
Fridiey,MN 55432
(763)57Z-3566
��We hereby authorize the�tY of Frid(ey and/or i�
- empioyees to do what is necessary ta replace the water meter._I understand_that the property owner
-islia6te far the water tine from the main to the premise and ali interior piumbing. (Per City code
402.Ofi) 1 alsa hold the City of Fridley and/its empioyees harmless or any damages tt�at may occur-
white doing this operation. This tu include,but nat limited ta;�talves�pip��g,v�►a�is�fl°'°rs°r the curb
stop box and servic�line. I understand 1 am also repuired to ahtain a permit prior to any work,if
neces5ary. � ��
Einal meter readins{ol�meter)_
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Name• Address• l.!// V Sc/N�/� r�,..-�
Phone Mumber• Date• v�" �r��
i nature• '�J
5g
Witness Signature: �
FRIDLEY CITY CODE
pTER 4QZ.WATER,5[ORM WATER,AND SANITARY SEWER
ADMINISTRATtON
{Ref Ord No 113�464,565,56fi,629,538,562,922.988,1144,1156,1191)
4U2.05.PERMIT FEE
Prinr Co canstructing or repair af any water or sewer line connecting the existing municipai system and any house
or building for which the apptication is made,the owner ar contracto�shall be required to obta[n a permit for such
cannectian,and shalt pay a permit fee as provided in Chapte�11 of this Code. After such cannection has been
made,the Water and Sewer Department shall be nfltified. IC shall 6e uniawful to caver a�y connecttng tine until an
"snspection has been made and suth connection and the wark incident thereta has been approved by the Ciry as a
proper and suitabte connection.
402.a6.REPAlRS AND MAtNTENANCE TO CONNECTIaN
���p�����.,...,�,�,�o+.,rhp wat�r service curh stop box or the sewer fead at the propert�
line or a water senrice ar sewer lead has been extended to the propertyline for connection�the applicant,owner,
or the occapa�t or user of such premises shall be liable for all�epai�required to any wate�line and sewer lines
necessary for connection of the prernises from the main to the prernises. If the propetty owner requests
maintenance service ar repairs be performed by the City,the property avuner shall be charged for the costsof the
. maintenance andJor repaits, including any necessary street repairs,at a raCe set annual{y by an administraUve
poticy. It shatl be the responsibil'rCy of the appli�ant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main inciuding debris ciearing or root cutting and to maintain the
water service curh stop box far operability and at suth height as wiu ensure that it remains above the finished .
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grad"eat�tfj�tardorpropet�y:�(Rc�63S,-y�S,.tf�3) _. .. . .. . . ._