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Request Number: 9170
Public Works Division
Service Request
Problem Address: 281 Sylvan Lane Requested By: Jane Hosman
Department: WATER Address: No address provided
Problem/Issue: INSTALL�IIt METER Phone Number: 571-8595
Scheduled Date: 2014-11-06 Scheduled Time: 02:30:00
ACTION NEEDED:2014 t�MI�
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
Old meter#14682900 Old reading�60 New meter#44922119 ERT#35159258
Status: Completed Resident Contacted I"'
DateCompleted: 2014-11-46 Completedby: JosephKatz�mg
Hours
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Request Number: 9170
Public Works Division
Service Request
Problem Address: 281 Sylvan Lane Requested By: Jane Hosman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 571-8595
5cheduled Date: 2014-11-06 � SchedWed 15me: 0230:00
1 � �`3�
ACTION NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-10-14
ACTION TAI�N:
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5tatus: In Progress Resident Contacted [�
Date Completed: Compteted by:
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. - City of Fridley
. _ .... Wat�r.Department
_ , . .�_
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6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
I/we hereby authorize the�ty of Fridley and/or�.s
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water(ine from the main to the premise and all interior piumbing. (Per Cit�►code
402.06) i alsa hold the Cdy of Fridley and/its employees harmiess or any amages t�at may�o. u -
while doing this operation. This ta inciude,but nat limited to;vah�es►piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterj � ��� �`�
Name• Address• a$� ��I���► �n
Phone Nu Date• ��/�/�y
Signatur � � � �
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Witness S�nature•
fRIDLEY CITY CODE
CHAPTER 402.warEa,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,fi62,922,988,1144,1156,1191�
4�2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shal)be unlawful to cover any connecting line until an _
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suftable connection.
402.06.REPAIRS AWD MAINTENANCE TO CONNECTION
-A#te�tbainitial.coanectinnhas hPPn 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 connection,the applicant,owner,
ar the ocwpant or user of such prem�ses shall be liable for all�epairs required to any water line and s+ewer lines
necessary for connection of the premises from the main to the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the City,the properly 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 administrative
policy. It shali be the responsibility of the appHcant,awner,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 operability and at such height as will ensure that it remains abave the ftnished
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grai�'e of t��e land or�ropzt�y.�(Re`638,_1155,_t�nl:� .. .� . .. . . . _ � -
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