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�noF AUTC�MATIC METER READER
ERIDLEY
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Name F�� ��11.-7� _ _
Date�_��?J l �. _ _
Old Meter Number � �J
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Old Meter Reading �
Replacement No. Q��� O�� �
Replacement Reading �
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Replacement ERT#
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Signed: �D
Reques#for Service Report
�ity of Fri d I ey
R eference N o: 601-71-2840 D ake: 02116I11
Requesk Type: Install AMR meter Entered By: Wendy Hiatk
Department: Water Citizen Name: Dean wlIBR Realty
Addtess: 161 RICKARD RD NE Caliback Phone: 612-385-4891
Scheduled Date: 02122111 10:00 AM Property Owner:
Location Details: NJC Per Sandi Requesk Details: Install AMR. Gall 5andi in Utility
Lackbox ID:$690 Billi�g with reading asap.
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Action Taken:
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Responsible Person:
Appro�er:
Completion Date: \ �� ;, Citizen Notified
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City of Fridley
Water Department
6431 University Avenue NE
Fridley NIN 55432
(763) 572-3561
Uwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to shut offthe water at the curb stop box. I understand
that the property owner is liable for the water line from the mai.n to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees harmless for any
damages that may occur while doing this operation. This to include,but not limited to,
sod, yard,landscaping,trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I am also required to obtai.n a permit prior to any work.
Name: Address: ����C��� �
Phone Number: Date: 1 � , \`�
Signature:
Witness Signature:
��(�tt���'�` ��'_'
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMIl�TISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05. PERMiT FEE ,
Prior to constructing or z•egair of auy water or sewer line connecting the existing municipal system and any
house or buildi.ng for which the application is made,the owner or contractor shall be required to obtam a
permit for such connection,and sha11 pay a permit fee as pravided in Chapter 11 of this Code. After such
connection has been made,the Water an.d Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the wark incident thereto
has been approved by the City as a proper and stdtable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop b�ox or the sewer lead at the
property line or a water service or sewer lead has been extended to the property line for connection,the
applicant,owner,or the occupant or user of such premises shall be liable for all repairs required to any
water line and any sewer lines necessazy for connection of the premises from the main to the premises. If
the property owner requests maintenance services or repairs be performed by the City,the property owner
shall be chazged for the costs of the maintenance and/or repairs,including any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility of the applicant,owner,occupant
or user to`perform standazd maintenance of the sewer service line fram the premises to the main including
debris clearing or root cutting and to maintain the water service curb stop box for operability and at such
height as will ensure that it remains above the finished grade of the land or properry: (Ref 638,1156, 1191j
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Request for Service Report
City of Fridley
Reference No: 601-11-3238 Date: 07I25I11
Requesk Type: Turn waker oFilon Entered By: Wendy Hiatk
Department: Water Citizen Name: Dean
Address: 161 RICKARD RD NE Callback Phone: 612-385-4861
Scheduled Dake: D7J25I71 9:00 AM Property Owner:
Location Details: Turn water on anytime Monday,July 25th. Request Details= Turn water on
Lockbax: $690
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Action Taken:
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Completion Date: �^T��� � Citizen Notified
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