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Request Number: 9220
Public Works Division
Service Request
Problem Address: 6231 Suimse Dr Requested By: Janny Thoua
Department: WATER Address: No address provided
Problem/Issne: INSTALLAMRMETER PhoneNumber: 651-274-1259
Scheduled Date: 2014-10-22 Scheduled Time: 03:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-20
ACTION TAI�N:
Old meter#98160950 Old reading: 138 190 Newmeter#44921938 ERT#35172564
Status: Completed Resident Contacted i""'
Date Completed: 2014-10-22 Completed by: Ryan Johnson
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Request Number: 9220
Public Works Division
Service Request
__ Problem Address: 6231 Sunrise Dr Requested By: Janny Thoua
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-274-1259
Scheduled Date: 2014-10-22 � �� Scheduled'Iime: 03:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-20
ACTION TAI�N:
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5tatus: In Progress Resident Contacted �
Date Completed: Complet by:
Hours
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� + - Ciry of Fridiey
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:_ _ . :_ �-. u!w�i�erR��►�rtment
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6431 University Avenue NE
Fridtey,MN 55432
(763)572-3566
I/we hereby authorize the�t1►of fridley and/or its
employees to do what is necessary to replace the water meter. I undentand that the property owner
is lia6le for the wate�(ine fram the main to the premise and altinterior plumbing. (Per Gtycode
402.06) I aiso hald the City of Fridley and/its employees harmless ur any amages may u -
while doing this operadon. This to include,but not limlted ta;valves,PiP��g.wa�ls�flaars or the curb
stop box and service line. I understand i am also required to obtafn a permit prior t+�any work,if
neces5ary.
Final meter reading(old meter) ' � �� � �O
Name: Addr�s:t��v t �/v�l^�' I�J1�
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Phone Number: Date. `�-Z z l�
5ignature: i�'^'�J+- `���
Witness Signa re•
FRIDLEY CITY CODE
TER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMtNISTRATIUN
(Ref Ord No 113,464,565,566,6Z9,638t 662,922,988,1141t,1156,1191)
4tl2.05.PERMIT fEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any hause
or building for whidi the application is made,the owner or contracto�shatl be required ta obtain a permtt for such
connection,and shali pay a permit fee as provided in Chapter il of this C�de. After such connettion has been
made,the Water and Sewer Department shall be notified. �It shail be unlawful to cover any connecting line until an
lnspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AfdD MAINTENANCE TO CONNECTION
,p������a�h��MadP tr,the water service curb sioa box or the sewer fead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occi�pant or user of such prem�ses shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propgtty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
. maintenance and/or tepairs, inc�uding any necessary street repairs,at a rate set annually by.an administrative
policy. It shali be the responsi6ility of the appllcant,awner,occupant or user to pe�orm standard maintenance af
• the sewer service line from the premises to the main including debris clearing or raot cutting and to maintain the
water service curh stap box for operability and at such height as will ensure tfiat it remains above the fintshed
. . ._ .. . .__ -- .
`"graiie of tfie lard orprop�rty.�(ReF 638,_7,�5,.t�n3:� ._. .. . . . . _ .