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Request Number: 9188 '
' Pubhc Works Division
Service Request
Problem Address: 145 Sylvan Ln Requested By: Karen McCoy
Department: WATER Address: No address provided �
Problem/Lcsue: INSTALL AMR Iv1ETER Phone Number: 572-2421
Scheduled Date: 2014-10-20 Schednled 1�me: 09:00:00
ACTION NEEDED:2014 AMR � �
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Created by: WendyHiatt Date Created: 2014-10-16
ACTION TAI�N:
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Status: Tn Progress Resident Contacted. �
Date Compteted: Completed by:
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Request Number: 9188
Public Works Division
Service Request
Problem Address: 145 Sylvan Ln Requested By: Karen McCoy
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-2421
Scheduled Date: 2014-10-20 Scheduled'ITime: 09:00:00
AC'ITON NEEDED:2014 AMR `,.,� �
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Created by: WendyHiatt Date Created: 2014-10-16
ACTION TAI�N:
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5tatus: In Progress Resident Contacted Ci
Date Completed: Completed by:
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� City of Fridley
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6431 University Avenue NE
Fridley,MN 55432
(763)S7Z-3566
I/we her�by authorize the�t1r of Fridley andJar Its
emptoyees to do what is netessary ta replace the water meter. I understand that the property owner
is liable for the water tine from the main to the premise and at)irneriar plumbing. (Per Gty code
402.06) !alsa ho{d the City of Frldley and/i#s employees harmiess or any amages a ma -
whife doing this aperatton. This to include,but nat limited ta;vahr�ss,piPing,wafls,floors or the curb
stop box and service line. {understand i am also required to o6tain a permit prior to any wvrk,if
necessary.
Finat meter reading{o1d meter) �� �l�J
Name• Address• �L� c�y�-��
Phone Numher: Date• ��'�� l� -- ---
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Signature•
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INitness Sigt�ature;
FRID4EY GTY CODE
CHAPTER 4fl2.WA7'ER,STURM WATER,AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566,5Z9,638,66Z,922,988,1144,1156,1191�
402.05.PERMiT FEE
Prinr to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appticatian is made,the owner or contractor sha{I be required to obtain a permit for sucfi
connection,and shali pay a permit fee as provided in Chapter 11 of this CAde. After such connection has been
made,the Water and Sewer Department shalf be notified. It shaf)be nniawful to cover any cannecting line until an
inspectian has been made and such connection and the work inddent theretu has 6een approved by the City as a
proper and suitabfe connection.
402.06.REPAlRS AMD MAfNTENAIVCE TO CONNECTION
-A#te�-tb�-iai#ial-coapectionha4 he�n made to the water service curb stou box or the sewer lead at the propert�
li�e or a water servite or sewer lead has been extended to the propertyline for cunnection,the appticant,ownes,
ar the occupant or user of such premises shall be liabfe for all�epairs�equired to any water{ine and sewer lines
necessary for connectian of the premises from the main ta the premises. If the propecty owner requesu
maintenance service vr repairs be perForrned by the City,the property owner shall be charged for the costs of the
. maintenance and/or repairs, induding any necessary street repairs,at a rate set annualty by.an administrative
palicy. It shal{be the responsihitity of khe appiicant,owner,occupant or user to perform standard maintenance af
• the sewer service fine from the premises to the main inciuding debris clearing or root cutting and to maintain the
water senrice cur6 stop bax far tiperability and at such height as wilf ensure that it remains above the finished
. .. . . . .. ._
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