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� ' Request Number: 16394
Public works Division
Service Request
Problem�Address: 7151 Rivervwood Dr Requested By: Christine
Department: WA1ER Address: No a�ress provided
Probletn/Issue: INSTALL AMR ME PhoneNumber: 651-983-4698 or 763-656-9590
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Scheduled Date: 017-0'7-19 Scheduled Tlme: 01:00:00
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ACTION NEEDED:Shut off water so val�can be changed Install AMR
Created by: Wendy Hiatt Date Created: 2017-0'7-19
ACTION TAI�N:
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Submitter Hsa Been t,/�
Status: In Progress CoMacted '�
Date Compieted: Completed by:
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�i�{�#�r6c91ey
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6431 l�niversity Avenue NE
Frislley,MN 55432
763-572-3566
!/we hereby authorize the City of Frid(ey and/or its employees to s!o avhat is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and ali interio�
plumbing. (Per sity code 402.05} 6 also hold the City of Fridiey andjits employees harmless for arry damages fihat may occur while doing this
operation. This to+nclude,but»at fimited to vaives,pipin�walis,floors or the curb stop box and service line. In undersqnd t am a(so require
to abtairt a perrnit pr3or to any work,if necessary.
FIfYAL METER READING(old meterj
Name• Address
Phone Alumber p�,
SignaW re Witness Signature
OLD MfTER#
O�D READlNG
NEW METER#
NE1R�READING
f RT#
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER APlD SAIYtTARY SEWER
ADMINISTRAT{ON
(4�'e�Ocd NO 113�4��565�566� 629�638�662�922�988�1144�1156,1191j
402.5 PERMIT FEE
� Prior to�constructing ar repair o�f arry wat2r af sewer line connecti�g the existing municipal system and arry house or Iwitdi►�g for which d�e
application is made,the o+nrner or corrp�ac#or shal(be required to obtain a permit far 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 shalt be notified. it shail be uniawfui to rnver
any connecting line urrtil an inspection has been made and such connection and the wortc inciderrt thereto has been approved by the City as a
proper and suitaiale connecCion.
402.06 REPAIRS APiD MA�NTEIVANCE TO CORIIYECTION
After the initiat connection has been made to the water senrice cur6 sfiop box or the sewer lead at the property line or a water service fead has
been extended ta the property line for tonnecfiion,the appliqrrk,owner,or occuparit or user of such premises shall be iiahle for al!repairs
reauired fia any water line and sewer lines necessary#or connectiort of the premises from the main to the premises. (f the property awner
requests mairrtenance service or repairs be perFormed by the C'rty,the property owner shall be charged foc the costs of the maisitenance and/ar
repairs,including necessary street repairs at a rate set annual(y by an adminisCrative policy. It shall be the responsitsilifiy af the appliprn,
owner,occupant or user to perform standard mairrtenance of tfie sewer service line from the premises to the main includirrg debris clearing or
root cutting and to maintain the water service curb stop hox for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Refi 638,1156,1191j