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Request Number: 9327
Public Works Division
Service Request
Problem Address: 6151 Trinity Dr Requested By: Brian Toews
Department: WATER Address: No address provided
Problem/Issue: INSTALL AbIIt METER Phone Number: 612-812-3022
Scheduled Date: 2014-11-03 Scheduled 1Sme: 08:30:00
ACTION NEEDED:AMR install.Please l�ock on front door loudly to wake owner up.He says it is ok to wake lrim up.
Created by: Cheryl Pellegrin Date Created: 2014-10-30 �,
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ACTION TAI�N: �'��
Old meter#88136424 Old reading: .02 50 Newmeter#44922040 ERT#351714665 i��
Status: Completed Resident Contacted M""
Date Completed: 2014-11-03 Completed by: RyanJohnson
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Request Number: 9327
Public Works Division
Service Request
Problem Address: 6151 Trinity Dr Requested By: Brian Toews
Department: WATER Address: No address provided
Problem/Issue: IIVSTALL AMR METER Phone Number: 612-812-3022
Scheduled Date: 2014-i 1-03 Schedule¢'Iime: 08:3 00
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ACTION NEEDED:AMR install.�:Is�ck on front door loudly to wake owner up.He says it is ok to wake him up.
Created by: Cheryl Pellegrin Date Created: 2014-10-30
ACTION TAI�N:
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Status: In Progress Resident Contacted I""
Date Completed: Completed by:
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. . .
- City of frid{ey
._ _ . . ., . . .: � iA�a�r�epartment . _ . ,
6431 University Avenue NE f ��
Fridley,MN 55432
(763)57Z-356fi
� I/we hereby authoriie the C�tY�Fridtey and/or its
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i�;�.�: � _ employees to do what�S necessary ta replace the water meter. I understand diat the property owner
� is liable for the water tine fram the main to the premise and all interior plumbing. (Per City code
402.06) !alsa hold the Gty of Fridley and/'�ts employees hannless r any amages may -
while doing this aperetion. This to include,but nat limited to;valves,piping.wafts,floors or tf�e curb
stop box and service line. I understand i am also required to ohtain a permit prior to any work,if
necenary.
Final meter reading(old meter) � �� ���
Name• Address•
(,�� S( 7��'i v�� �f�y ��
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Phone Number: Date:_� `
Signature: �'''"�+
Witness Signature:
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FRIDLEY ClTY C�DE
4pz.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref t3rd Na 113,454,565,566,529,638,562,922,988,1144,1156,1191J
402.05.PERMIT fEE �
Prior to constructing or repair of any water or sewer line connectingthe existing municipal system and any house
or building for which the appfication i$made,the owner or contractor sMa{I be reguired to obtain a permlt for such
cannedion,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shail be unlawful to cover any connecting line until an
inspection hes been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectlon.
402.06.REP141RS AND MAINTENANCE TO CONNECfIUN
�.��a����bas ti.,a„�,��a rn�he water service curh stoa box or the sewer lead at the propert�
line or a water seNice Qr sewer lead has been extended to the pcopertyline for connecction,the applicant,awner,
or the�cwpant or user of such premues sfia11 be liab{e for all�epai�x requ+red to arry water line and sewer lines
necessary for connection af the premises from the main ta the premises. If the prop��ty owner requests
maintenance service or repairs be performed by the Ctty,the pruperty owner shall be charged for the costs of the
. maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by.an administraUve
poticy. It shall 6e the responsihil'�ty of the applicant,owner,occupant or use�to perform standard maintenance of
• the sewer service iine from the premises to the main incfuding de6risc�aringar root cutting and to maintain the
water senrice cur6 stop box for operability and at such height as wip ensure that it remains abave the finished w_
. . .. .. .. . .... . . ...
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