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s Request Number: 16666
Public Works Division
Service Request
Problem Address: 7450 Abie Street NE Requested By: Ena Easter-Site Person Xin
Department: WA'IER Address: 7450 Able Street NE
Problem/Issue: INSTALL AMR METER Phone Number: 763-286-6261 .
Scheduled Date: �� Schedaled 1�me: �
ACTION NEEDED: Install AMR
Created by: Jeannie Benson Date Created: 2017-08-10
ACTION TAKEN:
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Status: [n Progress Submitter Has Been r
Contacted
Date Completed: _ Completed by:
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� � �i�.y��Fo�elley� /��' G1 !IS7 � ���
y 4�taker�eparteraent
` 643�.llra'se��rsity Avenue 4VE ����'
Frisll�y,MN a5432 Cb � s���2
7C3-572-3566 �J
�✓'"'�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the arater line from the main to the premise and all irtterior
plumbing. (Per City code 402.a6j !also hold the C'rty of Fridtey andJits employees harmiess for any damages that enay occur while doing this
operation. This to include,but not 4imited to vafves,pipi�g,�aral[s,#loors or the atrb stop box and service line. In understand 1 am aiso require
to abtain a permit prior to any work,if necessary.
FINAL METER READIAtG(old meter} ��� a��
Name• Address_ ! L� f\)Jl���
Phone9Yumber p� ���`{ "�?
Signatur Witness Sigrtature
OLD METER# ��'`� ��_���Otw���
OLD READING � �� �� � �� �/d�_!, �� _
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NE1N READlNG �
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FRIDLEY ClTY CODE
CiiAPTEIt 402.WA7'ER,ST+QRM WATER AND SANITA�iY SEWER
ADMINISTRATION
(�tef Ord No 113,464,565,566,629,538,662,922,988,1144,1]56,1191j
402.5 PERMIT�EE
.� Prior to constructing ar repair of any water of sewer line connecting the existing municipal system and arry house or buitding for which the
application is made,the owner or contractor shali be required Co obtain a perenit for such connection,and sha{l pay a�rmit fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer Departmerrt shail be no'�f'ied. It shaN be unlawful to cover
any connecting line until an inspection has been made and such connection and tbe work incideM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AiVD MAINTENANCE TO COPtNECT10Pl
After the initiat connection has been+nade to the water service curb stop box or the sewer lead at the property line or a water service dead has
been extended to the property line for connection,the ap�licant,ow�er,or accuparrt or user of such premises shall be iiable for all repairs
required to any water(ine and sewer lines necessary#or connectiort of the premises frvm the main ta the premises. tf the property owrter
requests mairrtenance service or repairs be performed by the CrCy,the property awner shall be charged for the costs af the mairrCenance andJor
repairs,including necessary street repairs at a rate set annually!ay an administrative policy. !t shal!be the responsi6i{'rty of#he applicarrt,
owner,occupant or user to perEorm standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cufiting and to mairrtain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)