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Request Number: 9168
Pablic Works Division
Service Request
Problem Address: 160 Sylvan Ln Requested By: Ruben Diaz
Department: WATER Addreas: No address provided
Problem/Issue: INSTALL AMIt METER Phone Number: 571-4383
Scheduled Date: 2014-10-17 SchedWed Zime: 08:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
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ACTION TAI�N: j�
Old meter#18734432 Old reading 073 40 New meter ERT#35171659
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Status: Completed Resfdent Contacted 1'"
Date Completed: 2014-10-1'7 Completed by: RyanJohnson
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Request Number: 6793
Public Works Division
Service Request
Problem Address: 160 Sylvan Lane Requested By: Anoka County Disptach
Department: WATER A�ddress: No address provided
Probiemllssue: WATER MAIN BREAK(WATER) Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Possible water main break
Created byc Wendy Hiatt Date Created: 2013-0&22
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ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: /7 � �1��,�� Completed by: . . _
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Request Number: 9168
Public Works Division
Service Request
Problem Address: 160 SylvanLane _ Requested By: Ruben Diaz _a.�. _. _
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 571-4383
SchedWed Da : 2014-10-17 SchedWed Time: 08:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete y:
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� City of Fridiey
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the tity of�ridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water(ine fram the main ta the premise and all interior plumbing. (Per Ciiy code
402.06) I aiso hold the Gty af Fridley and/its employees harmiess or any amages a ma�y o�'i-
while doing this operation. This ta include,but not limited to;valves,piping,walls,floors or the curb
stop tmx and service tine. I underst�and 1 am also required to olrtain a permit prior to any work,if
necessary.
final meter reading(old met�er) ���� 0���
Name• Address: L `w �u ""'" "�''
Phone Number: Date_ `�~ ���
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5ignature
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Witness Signature:
FRIDLEY CITY CODE
TER 4�2.WATER,ST�RM WATER,AND SANITARY SEWER
ADMINISTRA►TIDN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ur sewer line connecting the existing municipal system and any house
or building f�r which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shaU be notified. !t shall be unlawrful to cover any connecting line until an
Inspection 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 AND MAINTENANCE TO CONNECTION.
-�er�qe..;�i�al_wn�e�tinnhas hpp�made rn 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 property line for connection,the applicant�owner,
or the occupant or user of such premises shall be liable for ali�epain required to any water line and sewer lines
necessary for connection af the premises from the main to the premises, if the propetty owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
. maintenance andJor repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsibil'rty of the applicant,owner,occupant or user to perForm standard maintenance af
• the sewer service line from the premi5es to the main including debris clearing or root cutting and to maintain the
water service cur6 stop box for aperability and at such height as will ensure that it remains above the flnished
- - - . ._ . ..__. .__ ..
"'grade di tf��iand or-prop�t�i,y.�(REt 63�,_1�55,.t�n�:i .. .� . . . _