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Request Number: 9064
Public Works Division
Service Request
Problem Address: 6160 Trinity Dr Requested By: Mr Lundber�
Department: WATER Address: No ac�ress provided
Problem/Issue: INSTALL AbIIt METER Phone Number: 571-3817
Scheduled Date: 2014-10-08 Scheduled'Iime: 01:30:00
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
Old meter#36348811 Old readin 34 00 New meter#44920842 ERT#35159565
Status: Completed Resident Coatacted !''
Date Completed: 2014-10-08 Completed by: Ryan Johnson
Hours
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Request Number: 9064
Public Works Division
Service Request
Problem Address: 6160 Trinity Dr Requested By: Mr Lundberg ..
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR ME1ER Phone Number: 571-3817
Schedaled Date• 2014-10-08 Scheduled'ITime: 01:30:00
I�.�e.�t ��=f�� �� � `,3
ACTION NEEDED:2014 AMR
�,
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Completed b
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. City of Fridley
,_ _. _ Water Dep�rtment .
_ ._ ._
_ ._.. ___
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the tity of fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
:��:�����r+he water line ftom the main to the premise and all interior plumbing. (Per City code
402.06j i also hold the Gty of Fridley and/i�employees harmless or any amaBes a may o�r-
while doing this operation. This to include,but not limited to;valves.Piping.walls,floors or the curb
stop box and service line. I understand I am also required to obtain a pecmit Pnor to any work,if
necessary. ��� ���
�inal meter reading(oid meter) � � ,
Name•
Address• '
Phone Number: Date: ����` �
Signature� �
Witness Signatur •
FRIDLEY CITY CODE
CH 402.WATER,ST�RM WATER,ANO SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line con n acto shal be equiredto'obtain a permit forsuch
or buiiding for which the applicatian is made,the owner or co
connection,and shall pay a permit fee as pruvided in Chapter.11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall 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 suitable connection.
402.06.REPAIRS AND MAINTENp►NCE TO CONNECTION
���r tb�� service cur6 sto box nr the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be tiable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propeCty owner requests
maintenance service�r repairs be performed by the City,the property owner shall be charged for the cnsts 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 applicant,owner,occupant or user to perform 5tandard maintenance of
• the sewer service line from the premises to the m such hIe gh ad w 11 ensure hat t etma ns above the fi tshed�e
wa ter serv ice c u r b s t o p b o x f o r a p e r a b i l i t y a n d a t . __ - . --- - �-- �
._ . . . . .. .
_ .._. _.... ..._...
::graife of�ti��land or-prop�rty.��Re�63�,-1�S,..t�_ _.
_ ...._ ._. _ ._..._ . _ .