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Public Works Division
Service Request
Problem Address: 131 Sylvan Ln_ Requested By: Alonzo Ellis
Department: WATER Address: No address provided
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Problem/Issue: INSTAL,L AMR METER Phone Number: 612-716-8792 1
5cheduled Date: k � 014-10-2 Scheduled Time: 0730:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-15
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple by:
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Request Number: 9177
Public Works Division
Service Request
Problem Address: 131 Sylvan Ln Requested By: Alonzo Ellis
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-716-8792
SchedWed Date: 014-10-2 Scheduled TS�me: 07:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-15
ACTION TAI�N:
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Status: in Progress Resident Contacted ❑
Date Completed: Comple by:
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- City of Fridley
� - 1Ma�ter.��partment
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6431 University Avenue NE - ___ ,.._ ..
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or its
emp{oyees to do wfiat is necessary to repiace the water meter. I nnderstand that the pro�rty owner
_is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hokl the Ciiy of Fridley and/its employees harmlrss or any amages ma`y a�i�-
while doing this aperation. This to include,but nat limited to;values,piping,walls,floors or the curb
�top box and service line. I underst�and 1 am also required to obtain a permit prior to any work,if
necessary.
Fina!meter reading(old meter) � � � ���
Name: Address:_,_,� �' ('��-��
Phone Number: Date: �v� v"'' i��
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5ignature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WA'fER,STORM WATER,AND SANITARY SEWER
ADMINI57RATION
(Ref�rd N�113,464,565,565,629,538,662,922,985,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair af any water or sewer line connecting the e�cisting municipal system and any house
or building for which the application is made,the owner or contractor sha11 be required to obtain a permit for such
� connection,and shali pay a permit fee as pruvided in Chapte�11 of this Code. After such connection has been
made,the Vltater and Sewer Department shall be notified. It shaD be unlawful to cover any connecting line until an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
praper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
,p{��q���p�;�a�n�Pn madP to the water service cur6 stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertytine for connectian,the applicant,owner,
or ths occupant or user of such premises shall be liable fa�al!�epairs�equired to any wate�tine and sewer liaes
neces5ary for connection of the premises from the main to the prernises. If the propgtly owner requests
maintenance senrice or repairs 6e performed hy the City,the property owner shali be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
poticy. It shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenance af
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service cur6 stop box for aperabitity and at such height as will ensure that it remains above the finished
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