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Request Number: 9169
Public works Division
Service Request
Problem Address: 6220 Trinity Dr Requested By: Constance Watts
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-0226
Scheduled Date: 2014-10-16 Scheduled Time: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
Old meter#19320063 Old readin ,331 80 New meter#44921153 ERT#35172139
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Status: Completed Resident Contacted I"'
Date Completed: 2014-10-16 Completed by: Ryan Johnson
Hours
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Request Number: 9169
Public Works Division
Service Request
.. Problem Address: 6220 Trinity Dr Requested By: Constance Watts
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 571-0226
Scheduled Date• 2014-10-16 � Scheduled TSme: 02:00:00
C.�C_J �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed y:
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� City of Fridley
. ._. Wat�r D�nartment
_ .
_�_.. R.� _ _
6431 Universit�tvenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the t�fi►of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the propert�r owner
_is liable for the water line from the main to the premise and ait interior plumbing. (Per Gty code
A02.06) i aisa hold the City of Fridley end/its employees harmless or any amages a may�o u�-
while doing this operation. This ta inctude,but nat limited to;val�es,piping.walls�floors or the curb
stap 6ox and service line. I understand i am also required to ohtain a permit prior to any work,if
necessary.
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Pinal meter reading(old meter) `
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Name: Address• �
Phone Number: Date:_l0%LD 1_r - -
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Signature: !
Witness Signature:
FRIDLEY CITY C�DE
ER 4U2.WATER,STORM WATER,ANO SANITARY SEWER
� ADMINISTRATION
(Ref Ord No 113,464,555,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMtT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required tu obtain a permit for such
connection,and shall pay a permit fee as pruvided in Chapter 11 of this C�de. After such connection has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any cannecting line until an
inspection has been made and such connection a�d the work incident thereto has 6een approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAIN7'�NANCE TO CONNECTION
-A#ter�aipii�al conaectinaha��^^+a�e t�rbe water service cur6 stoa box or the sewer lead at the propert�
fine or a water service or sewer lead has been extended to the propertyl'sne for connection,the applicant�owner,
or the occupant or user of such premises shall be liable far all repairs required to any water line and sewer lines
necessary for connectian of the premises from the main ta the premiset. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the proPerty uwner shall be tharged for the cnsts of the
. maintenance and/or repairs, induding any neces�ary street repairs,at a rate set annualty by.an administrative
policy. It shall be the responsibility of the appllcant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main incfuding debris dearing or rdot cutting and to maintain the
water ser+rice cur6 stap box for operability and at such height as will ensure that it remains abave the finished
.. . : . .. . . .... .. ...
:'.grade"oftfi�landor�roperty. (ReF63s,_17�5,.�.�n1:� _. . .� . _ . - - -