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Request Number: 9236
Public Works Division
Service Request
Proble�►Address: 231 Sylvan Ln Requested By: Joaz�ne Campos
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-709-0655
Scheduled Date: 2014-10-28 Scheduled 15me: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
,
ACTION TAI�N:
Old meter# 17421951 Old readin •594 40 New meter#44921665 ERT#35172472
Status: Completed Resident Contacted 1-`
Date Completed: 2014-10-28 Completed by: Ryan Johnson
Hours
2��
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Request Number: 9236
Public Works Division
Service Request
Problem Address: 231 Sylvan Ln Requested By: Joanne Campos_ ___
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-709-0655
5cheduled�ate:.__ 2014-10-28 �,p Scheduled Time: 07:30:00
,� �� � <3c�
ACTTON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 201�-10-21
ACTION TAKEN:
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Status: In Progress Resident Contacted L�
Date Completed: Comp ted
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� - City of Fridley
, _. ., WatQr Dpp�rtment
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6431 University Avenue NE ry
Fridley,MN 55432
(763)572-3566
�/We hereby authorize the L�t1►of f�idfay and/or its
employees to do what is necessary to reptace the water meter. I understand that the property owner _
is liable far the water line from the main ta the premise and alf interior pfumbing. (Per�ty c�e
402.Q6) 1 alsa hald the Gty of Fridtey and/it�employees harmless or any amages � ma—��-
white doing this operation. This to inctude,but not timited tv;valves.Pipi�g.wa�{s�floors or the curb
stop 6ox and ser+rice line. 1 understand i am also required to ohtain a permit prior to any work,if
necessary,
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final meter reading(ofd meter) �f(", "�
Name• Address• � V��
Phone Number. Date� ` � L"��`�
Signature:
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Witness 5ignature:
FRIDLEY UTY CODE
CH AOZ.WATfR,STORM WATER,AND SANlTA�tY SEWER
ADMINISTRATION
(Ref Ord Na 113,454,5fi5,566,6�9,638,662,922,988,1144,1156,1191)
40ZAS.PERMIT fEE
Prior to constructing or repair of any water ar sewer line connecting the e�rinsting municipal system and any hause
or building for which ihe appiication is made,the owner or contractor sha11 be required to ohtain a permit for such
connedion,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Departrnent shatl be natffied. it shatl 6e uniawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Ciry as a
properand suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECiION
����p�����►...e..M�.+o+�+hP water service curh stop box or the sewer tead at the propert�
lirte ar a water service ar sewer lead has been extended to the propertytine for connection,the applicant�uwner,
ar the oicupant or user of such premises sha{I be liable for all�epairs required to any watec line and sewer lines
necessary for connection of the premises from the main ta the premises. if the prop�tky owner reque�ts
maintenance service or repairs be performed 6y the City,the property owner shall be charged for the costsof the
, maintenance andJor repairs, inctuding any necessary street repairs,at a rate set annuatly by.an administrative
poticy. It shall be the responsi6ility of the applicant,awner,occupant or user to perfiorm standard maintenance of
• the sewer service{ine from the premises to the main inctuding debris ciearing nr roat cutting and to maintatn the
water service curb stop box for operabifity and at such height as will ensure that it remains above the finished
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,:•grade af�tf�e laad orpropeti.y.��ReF 638,-3��5,.t��3:� .. � . . . .