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Request Number: 9325
Public Works Division
Service Request
Problem Address: 6210 Trinity Dr Requested By: Pam Carlson
Department: WATER Address: , No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-799-7754
Scheduled Date: 2014-11-14 Scheduled Time: 02:00:00
ACTION NEEDED:Install AMIt
Created by: Cheryl Pellegrin Date Created: 2014-10-30
ACTION TAI�N: �
Old meter 333836234 Old reading 1A6 10 Newmeter#44922241 ERT#35171712
Status: Completed Resident Coatacted 1-"
Date Completed: 2014-11-14 Completed by: Joseph Katzung
Hours
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Request Number: 9325
Public Works Division
Service Request
Problem Address: 6210 Trinity Dr Requested By: Pam Carlson
Department: WATER Address: No addre�s provided
Problemllssue: INSTALL AMR METER Phone Nwnber: 612-799-7754
5cheduled Date: 2014-11-14 Scheduled TSme: 02:00:00//
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ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-10-30
ACTION TAI�N:
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Status: Tn Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
_ . , _._ . ..
...... qNaCpr appar�rnen . __ , . _ ,
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6431 University Avenue NE � ��
Fridiey,MN 55432
(763)572�566
I/we hereby authorize the C�tY of Fridtey andJor its
- employees to d,o what is necessary ta replace the water meter. I u�xterstand that the proPertl+°+�ne� _
is liable for the water line from the main to the premise and aii interior pfumbing. (Per C1ty code
4Q2.06) 1 alsa hold the Gty of Fridley and/its empioyees harmiess r any ama�m�'1►�['-
whife daing this operadon. This ta include,but not timited to;val�es�p�Ping,wails,flaors or the cu�
stap box and service line. i understand f am alsa required to obtafn a permit prior to any work,if
necessary.
�rnal meter reading{old meter� ��� � L`�
Name: Address: �I 1 r''__._r�� ��- -n�
Rhane Number. �at�, t 1/`�/� �--------
Signature: '�
Witness Signature:
� RIaLEY qTY C�DE
CHAPTER 40Z.WA7ER,5'TQRM WATEk,14ND SANITARY SEWER
pDMINISTRATION
(Ref Ord Na 113f 464,565,556,629,638t 662,922,98$,1144,1156,1191}
40t.05.PERMiT FEE
Prior to constructing or repair of any water or sewer line connectingthe e�tisting municipal system and any house
nr 6uilding for whidti the applicatian is made,the owner or contractor shafl be required to obtain a permit for such
cannection,and shali pay a permit fee as provided in Chapter 11 af this Code. After such conneetion has been
made,the 1Nater and Sewer Department shall be notified. It shall he unlawful to caver any cronnecting Gne until an
tnspectian has been made and such connection and the work Incident thereto has been approved by the City as a
proper and suitable connection.
407.�6,REpA1RS AND MAINTENANCE TO CONNEC(fON
�p�����b..��...a..M�.�o tn ttio water service curh stou bax nr the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection�the appficant,awner,
or the occupant ar user of such premises shal(be liable for al(�epait�required to any weter line and sewer fines
necessary for connectian of the premises from the main ta the premises. If the p�op�[ty nwner requests
mainteoante service or repairs be performed by the Ciry,the praperty owner shal{be c�arged for the c4sts of the
. maintenance andJor repairs, including any necessary street repaics,at a rate 5et annuatly by.an admtnistrative
policy. It shall be the responsibil'�ty of the applicant,owner,accupant or user ta perform standard maintenance of
• the sewer service line from the premises ta the main including de6ns ciearing or root cutting and to maintain the
� water servlce curh stnp box for operabiliry and at such height as wiq e►uure that it remains abave the finished
_ . . �.
,::gracle of�ti�e land or�rop��iy.�(�te�63�,-Z�5,1�93:� .. . .. . . --