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Request Number: 16686
Public Works Division
Service Request - ��
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Problem Address: 382 74th Avenue NE Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1'ER Phone Number: 612-581-1561
. Scheduled Date: �� Scheduled'Iime: � �„
ACTION NEEDED: Install AMR
Created by: Jeannie Benson Date Created: 2017-08-11
ACTION TAKEN:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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d�Anre hereS�authorize tdae�fiy af�ridfey a�dJc�r its�mp9o�ees to do�Frat is necessary
���e7aca the�nrater metzr, ��rad�rstand t9�at the pr�perts�aavnea�as�iable far xl�e wa�er iine frvraa�ee nrea6n to the prerrsise and a1t irrteri�r
�daara�6ing, �Per�Ci�+{cade 4tDS.�06� �aisa#aold tiae�i+k�y of��icttes�aracd�ts empiayees#�arsntess f�r arry daaa�ages khat�may occur while doing fi
z��ea�tion. "9't�is t�indurle,9ae���ac�t�imite�6 La valves,�xipie���aralts,f�oors ar fifse auis stop 4sox�r�d sensice 1ine, In uc�derstand�ars�atso��c
t�o822�ain a�aenmit�ar�or�o aray work,if necessary.
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� �r�or�o constrs�cting or re�air a#any water of;ewer tine connecting the existing rnuntcipa(system and ariy house or buifding for which the
a�opiication is made,the owner flr contractor shalt oe reyuired to abtain a permit for sucdi connection,and shatl pay a�ermit fee as provided
�hapt�r 11 af�iais�ode. After such connectfion has been made,the jNater and Sedver Oe�artmerrt shaii be nofified. !fi shaA 6e unlawfut to a
any coranectie�g line ungd(an ins}�ection has been made and such car�reection and the+,voric inciderat�ereto has�een approved by the City as�
�ro�eer and suitabte connection.
402.06 �t�P�(tiS As�ED�►riAiN�NANCE i'CD C�PINECTtQIV
After t(�e initia��nnection has been made to�e water seruice carb sto�box�r�iae sewer teac!at the praperCy line or a uvater service tead h:
been extended to the property iine for connection,the applicarrt,owner,�r occuparrt�r user af such premises shali lie liabie for a11 repairs
required to any wa�ter line and se+roer fines necessar�far connection of the�remises from the main to the prsmise�, tf the property otivner
requests mair�tenance senrice or repairs be�aerformed by the�t�,the property owner shatl be charged for the costs of the ma�c�tenance and�
rePairs,instuding necessary street r�pairs at a raate set annuaity ny an admirtistrative poiicy. 9t shail be the responsibility aE the applicarst,
owner,occuparrt or user to perforen standardl mairrtenance of the sewer ser�ice line frorre the premises to the rr�ain irtduding debris dearing a
ruot cutting and ta maintain the�vater serv�ce carSa stop box for og�erabitity and at such height as will ensure�fiat ifi remains abave the finishe
grade of the iand or property. �&te$638,�.9.56,1i9�.)
REQUEST FOR SERVICE REPORT
CiTY OF FRIDLEY
Reference Na �� � ',(�j J Date: �—�--��
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Request Type: ��-� �S� , Entered By:
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Department: Citizen Name: C�����1�`�
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Address: �t�`�� Phone Number: --16�_--�y t�
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Scheduled Date: Property Owner:
Location Details: Request Detaits:
Action Taken:
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Responsibl_e Person:
Approver:
� Completion Date• G�-- �--�- � � Citizen Notified:
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