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Request Number: 9299
Public Works Division
Service Request _
Problem Address: 6201 Trinity Dr Requested By: Tracy Hukka
Department: WATER Address: No address provided
Problem/Issue: INSTALLAbIItMETER PhoneNumber: 763-574-7538
Scheduled Date: 2014-10-31 Scheduled Time: 01:00:00
ACTION NEEDED:Iastall AMR
Created by: Julie Horak Date Created: 2014-10-28
ACTION TAKEN:
Old meter#33046545 Old readin 100 90 New meter#44921175 ERT#35171673
Status: Completed Resident Contacted I"'
Date Completed: 2014-10-31 Completed by: Ryan Johnson
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City of Fridley
Water Department
Address (� �C� � I r�n 0 /��! �v���-
Name �t'G'� '" I �cr �{�G�
Date �j �--2'"C� �y
� O1d Meter Number r '. � �
Old Meter Reading �
Replacement No. `�j�jC� �� ��C�
Replacement Reading c�c'Jc�OrQ� '
Replacement Make �ot, .�/�
Remarks: 1°,Ca�� t����
Signed
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Public Works Division
Service Request
Problem Address: 6201 Trinity Dr Requested By: Tracy Hukka
Department: WATER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-574-7538
Scheduled Date: 2014-10-31 Scheduled'ITime: 01:00:00
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ACTION NEEDED:Install AIvIR
Created by: Jutie Horak Date Created: 2014-10-28
ACTION TAKEN:
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Status: 1nProgress Resident Contacted �
Date Completed: Completed by
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• - City of Fridley
,. _ � . , �. ... _ �fat�r D�partmenf _ ._. _
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6431 University Avenue NE � ��
Fridley,MN 55432
(763)572-356fi
i/we hereby authorize the�tY of Fridley andJor its
empioyees to do what is necessary ta replace the water meter. 1 understand that the propetty owner
�liable for the water line from the main to the premise and all interior plurnbing. (Per Giy code
402.06) 1 alsa hatd the City of Fridley and/'�ts employees hamnfes�s *any amages ma -
while doing this operation. This to include,but not limited to;vaNes►P�Ping,walls,floors or the curb
stop bax and service line. 1 uederstand 1 am also required to ahta(n a Permit pno�ta any work�ff
necessary.
Final meter readin old met�er) "�� ���
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Name� Address. �20� ��i . � trJ'►
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Phone Number: Date:
Signature��
Witness Signature:
FRiouEv cmr conE
CHA 402.WATER,ST�DRM WATER,AND SANITARY SEWER
ADMINISTRATION
�Ref Ord Na 113,464,5�5,566,629,638,662,422,988,114�1,1156,1191) �
4�2.05.PERMIT FEE �
Prior to constructing or repair af any water or sewer tlne connedingthe e�asting municipal system and any house
or buildingfor which the applicatian is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shall pay a permit fee as pravided 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 untii an
fnspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAtRS AND MAfNTENAMCE TO tONNECTION
��a�{���i�.�;�4 hm.•Ma.+a r�the water se�vice curh stop hnx or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline fnr�onnection,the applicant,uwner,
or the�cci�pant or user of such premises shall be liable for all�epairs required to any water line and sewe�lines
necessary for connection of the premises from the main ta the premises. if the propg�iy owner requests
maintenance service or repairs be performed by the Ctty,the property uwner shall be tharged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by.an administrative
poticy. It shall be the respansihility of the appli�ant,owner,occupant or user to perform standard malntenartce of
• the sewer service iine from the premises to the main inc{uding dehn5 clearing or raot cutting and ta maintain the
water 5ervice cur6 stop box for operability and at such height as wiA ensure that it remains abave the finished
.,grad"e of�ti��land orprd�t�y.��ReF 63�,-�.�5,-��93:� _. . T'