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Request Number: 9267
Public Works Division
Service Request
Problem Address: 6230 Sunrise Drive NE Requested By: Loreal Loftus
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-447-9225
Scheduled Date: 2014-10-28 Sc6eduled 15me: 08:00:00
ACITON NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-23
AC'ITON TAI�N:
Old meter#90049354 Old readin 217 10 New meter#44921666 ERT#35171823
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Status: Completed Resident Contacted f''
Date Completed: 2014-10-28 Completed by: Ryan Johnson
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Public Works Division
Service Request
Problem Address: 6230 Sunrise Drive NE Requested By: Loreal Loftus
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR ME'IER Phone Number: 763-447-9225
Scheduled Date: 2014-10-28 Scheduled'If ine: 08:00:00
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ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-23
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Compl by:
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� City of Fridley
- .._ . .. �ia�r Dppartmp��Y . _ , . ,., .
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6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
I/we hereby authorize the tity of Frid[ey andJor its
empioyees to do what 1s necessary ta replace the water meter. I understand i�wt the praperty owner
�sJiab[e for the wateriine from the main to the premise and aA interior piumbing. (Per�ity code
402.af'i� f alsa hofd the Gty of Fridley andris employees harmless r any amages f ma d�it-
while doing this aperation. This to incfude,6ut nat limited to;valves,Pip�ng.wa�fs�floars°r the curb
stop bax and service fine. I understand 1 am also required to abtafn a perrnit priorto any work,if
necessary.
Flnat meter reading(old meter) (sl �� �` �
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Name� Address:.,,�l�/�
Phone Number: Date: c��Z���1
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Witness Signature:
ERIDI.EY qTY CaDE
TER 4Q2.WAl'ER,STURM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,5b5,5b6,629,638�662f 922,988,1144,1156,1191)
40�.05.PERMfT FEE �
Prior to constructing or repair of any water or sewer line connectingthe existing municipa!system and any house
or 6uilding for which tfie app{icatian 9s made,the owner or contractar shall be required to nbtain a permit for such
connectinn,and shall pay a permit fee as provided in Chapter 11 of thts Code. After such can�e�ian has been
made,the INater and Sewer Department shali be notifiied. It shaif 6e unlawFul to caver any c�nnecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connect4an.
402.06.REPAIRS AND MAINTENANCE TO CONNEtTfON
-��e�tb�.ipi�akoaqec3ian.has.6�n rna�iP tn the water senrice curh stop bnx or the sewer iead at the propert'
tine or a wat�r servite or sewer iead has been extended to the propertyline for cnnnection,the appiicant,owner,
or the�cci�pant or user of such premises shafl be liable for a{t�epairs required to any water{ine andsewer tines
necessary for connection af the premises frum the main ta the p�emises. tf the prop�ty owner requests
maintenance service�r repairs be pe�farmed by the City,the property owner shall be charged for the cnsts of the
. maintenance andJor repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. 1t shall be the responsi6if'ityofthe applicant,owner,occupantor user to perform standard maintenance of
• the sewer service line from the premises ta the main induding debris clearing or raot cutting and to maintain the
water ser�ric�cur6 stop box for oparability and at such height as w�l ensure that it remains abave the finished
'�grade of�t��e land orprdp�t�y.�(Ret 638,-1�S,-t���:) . , _�.