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Request Number: 9178
Pubhc Works Division
Service Request
Problem Address: 201 Sylvan Ln - Requested By: Rodney Hogetvedt - �- -
Department: WA'IER Address: No addrsss provided �
Problem/7ssue: INSTALL AMR METER PLone Number: 763-571-1177
Scheduled Date: 2014-10-20 Scheduled 1Timec 02:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-15
,,ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by: • \
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Replacement No. � � �p �'�"�'��
Replacement Reading_Q
Replacement Make ,r''�'
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Request Number: 9178
Public Works Division
Service Request
Problem Address: 201 Sylvan-Ln - - Requested By: Rodney Hogetvedt -- ---- ---
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 763-571-1177
' ScheduledDate: 2014-10-2Q Scheduled'I�me: 02:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-15
ACTION TAI�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
�-• W�t�r Departm�nt .
, _ . . .,.- ..:._..
6431 University Avenue NE
Fridley�MN 55432
(763)572-3566
i/we hereby authorixe the�ty of Fridiey and/ar its
employees to do what is necessary to repiace the water meter. I understand that the property owner
�s liable for the water line from the main to the premise and al)interivr piumbing. (Per Gty cale _
4U2.06) 1 also hold the City of Fridley and/its employees harmless or any amages a may o c�ur-
while doing this aperadon. This to include,but not limited to;valves,piping.wa�is�flaars ar the curb
stop box and service line. I understand 1 am also required to ohtain a permit pHor to any work,if
necessary.
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Fina!meter reading(old meter)
Name• Address• �� ��L��
Phone Num6er. Date: �v �`�' �
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Signature:
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Witness Signature:
FRIDLEY Cf�Y CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINfSTRATION
{Ref Ord No 113,464,555,566,629,638,662,922,988,1144,1156,1195)
4ta2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buitding for which the application is made,the owner ar contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After suth connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cannecting line until an
lnspection has 6een made and such connection and the work incident thereto has 6een approved by the Ciry as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TC!CONNECTION
��b�����t,��rnade 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 propertyline for connectior�,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewe�lines
aecessary for connection of the premises from the main to the premises. if the prop�tty owner requests
maiatenance service or repairs be perfor�ned by the City,the property owner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administratfae
policy. It shali be the responsibil'rty of the applicant,awner,occupant or user to perform standard maintenance af
• the sewer service(ine from the premises to the main including debris clearing or root cutting and to maintain the
water service cur6�top box for operability and at such height as wifl ensure that it remains above the finished
. . . . ._ .. . .__ ...
"•graif"e of�tfie land or�ropetty.�(Re�638,-1�55,_t�9�:j _..