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Request Number: 9403
Public Works Division
Service Request
Problem Address: 6121 Trinity Dr Requested By: Richard Byersdorfer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 571-7`703 •
Scheduled Date: 2014-11-07 Scheduled Zl[me: 01:00:00
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-11-06
ACTION TAI�N:
Old meter#17651187 Old reading:0 i�31�00 New meter#44920947 ERT#35159248
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Status: Completed Resident Contacted I"'
Date Completed: 2014-11-07 Completed by: Joseph Katzung
Hours
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` Request Number: 9403
Public Works Division
Service Request
Problem Address: 6121 Trinity Dr Requested By: Richazd Byersdorfer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-7703
Scheduled Date: 2014-11-07 Scheduled 1ime: 01;00:00
` � �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-06
ACTION TAI�N: •
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Status: In Progress Resident Contacted ❑
Date Completed: Completed byc
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, � - City of Fridley
_ , _= .. �RJat�r Department
.. ..._. .._ _
6431 University Avenue NE
, Fridley,MN 55432
(763}572-3566
��We hereby authorize the t�tY of Fridley and(ur its
employees to do what is necessary to repface the water meter. t w�derstand that the PfQPe�ll°wner
is tia6le for the water line from the main to the premise and all interior plumbing. (Per City code
402.06� 1 alsa hold the Gty of Fridley and/its employees harmlessfur any damages�na�mdr�.���
while doing this aperation. This tu inciude,but not limited to;valves�P�Ping,wa��s,�oors or the curb
�top box and service line. 1 understand 1 arn also required to obtain a Permit P�°i t°any wark,if
necessery.
Final meter reading(old meter) O3� '��� ,-
Name•
pddr+�ss: �!�� I Tn'�n�`��.—
Phone Number• pate: ���7`/�
Signature•
�
Wltness Signature:
FRIDLEY GTY CODE
CHppTER 4D2.WATER,STORM WATEk►AND SANITARY SEWER
ADMINISTRATION
(Ref O�d No 113r 464�565�566�629�638t 662f 92�,988,1144�1556,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the existing rnunicipal system and arry house
or building for which the application is made,the owner or contractor shall be required to obtain a permit fior such
connection,and shali pay a permit fee as provided in Chapte�11 of this Code. After such connectian has been
made,the Vltater and Sewer Department shall 6e notified. It shalt be uniawful to cover any�onnecting line unfil an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.t16.REPAIRS AND MAIN'CENANCE TO CONNECTtON
��Q�� _ __�_�,.�:.K.o�.,�to�SeNice curh stop bnx nrthe sewer fead at the propert�
line or a water service ar sewer lead has been e�ended to the propertylme for connecbon,the applicant,owner,
or the occi�pant or user of such premises shalf be liabte far a41 iepairs reqa9red to any wate�line and sewer lines
necessary for connectiun of the premises from the main to the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the�ry,the property owner shall be tharged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annuafly by.an administradve
policy. It shall he the responsihil'�ty of the applicant,owner,occupant�user ta perf4rm standard matntenance of
the sewer service tine from the premises to the main including debris ciearingor root cutting and to maintain the
- water 5ervice curh stap box far aperability and at such height as wili ensure that it remains above the finished
. `Rei 63�8,-��5,-t���:� _. . .. - - . . ._
,,,grade of tf7�land orprop�rty.�� . _ . . ._ .