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Request Number: 16504
Public Works Division
Service Request
Problem Address: 1300 52nd Ave Requested By: Greg Truckenbroad
Depxrtment: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-9815
SchedWedDate: 2017 8-18 Scheduledlime: 07:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Ds�te Created: 2017-07-28
ACTI�N T . ��
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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� �Ce�y��Fradley �� � ✓ ����_`" !� �
+ VI/a�er�e�sas�trnen�t
6A�3�.l9�iversit�/Avencae NE t
Frodl�y,MN 55432 p
7�3-572-3566 ��� ��O
�J'Ne hereby authorize the City of Fridley and/or its employees to do what is necessary to
rep(ace the water met�r. (understand fihat the property owner is�iabte for+the water line from the main to the premise and all 9r�terior
piumbing. (Per�ity code 402.�D6) I aiso hold the C'ity of Fridley and/ifis employees harmless for arry damages that may oecur while doing this
operatian. This to include,but nat limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am also requirE
to afrtain a permit prior to any wortc,if necessary.
FINAL.ME1'ER REqDING(old meter) O ✓���
Name•� `� ,4ddress_ ���./� �i
Phorte�fumber Ci ✓ 1 ' Frv� Date tia 1 +'J {�
� Signature Witness Sigrsature
O�.D nn€i'ER# ����4��� '� _ 10 -o a
OLD RfAD9NG�f(J 1� IU��
NfW MEI'ER# ��'�`-'-1 14�V-1 �
NEIAA�READING�
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FRIDf.EY ClTY CODE
Ck1APTER Q02.WATER,STORM WATER AND SANtI"ARY SEWER
ADMl�IISTRATION �
(ltef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
� Prior to cortstructing or repair of arry water af sewer tine connecting the existing municipaf system and arry house or bui(ding for�rhic(t the
apptication is made,the owner or contractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall 6e notified. tt shall be unlawf�ai to�ver`
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the Criy as a
proper and suitable connectio�.
402.06 REPA(RS AND MAINTENANCE TO COPINECTIOiY
Affier the inifiiai connection has been made to the water senrice cur(�stop foox or the sewer lead at the property line ar a water senrice iead has
been e�etended to fihe property line for connection,the appliprrt,owner,or occuparrt ar user of such premFses shal!be iiable for a!t repairs
required to any water line and sewer{ines necessary for connectiort of the premises fcom the main to the premises. If the property owner
requests meirrtenance service or repairs be performed by the C"rty,the property oarrter shafl be charged for the costs of the maimenance and/or
repairs,including necessary street repairs at a rate set annuaity by an administrative policy. It shall be the responsibility oF the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding de6ris clearing or
root cutting and to maintain the water service curb stop box for operabifity and at such height as will ensure that it remains above the�n�shed
grade af the land or property. {Ref 638,1155,1191r
Request Number: 7626
Public Works Division
Service Request
Problem A�ddress: 1300 52nd Avie Requested By: Greg Truckinbroad
Department: WATER Address: No address provided
Problemllssue: FROZEN WATER SERVICE Phone Number: 763-5749815
Scheduled Date: 201403-07 Scheduled Time:
ACTION NEEDED: Frozen water service
Created by: Wendy Hiatt Date Created: 201403-10
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ACTION TAKEN:
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Status: In Progress Resident Contacted �
� Date Completed: Completed by:
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