Meter Swap �
` Request Number: 10915
Public Works Division
Service Request
Problem Address: 5350 7th St Requested By: Olga Alan
Department: WATER Address: No address provided
Problem/Issue: 'NRN WATERON/A� Phone Number: 952-221-0095
Schedaled Date: 2015-11-24 Scheduled'Ii me: 10:00:00
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ACTTONNEEDED:Turnwateron.'***BILL**#Lockbox: 1948
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Created by: Wendy Hiatt Date Created: 2015-11-23 �
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ACTION TAKEN: �j"
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Status: In Progress Resident Contacted L'; , p.Y
Date Completed: Completed by:
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City of Fridley -
� Water Department
- 6431 University Avenue NE
Fridley MN 55432
• (763) 572-3561
Uwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to shut off the water at the curb stop box. I understand
that the property owner is liable for the water lin.e from the main to the premise. (Per
City cade 402.0� I also hold the City of Fridley andlor its employees ha�mless for any
dam.ages that may occur while doing this operation. This to include,but not limited to,
sod,yazd,landscaping,trees,shru.bs,driveways,sidewalks or the curb stop box and
service li.ne. �understand I am also required to obtai�a a pemiit prior t4 any work.
Nam.e: 'Q���n �1��nn Address: ��S L � � S�-� N�
^^ ' ..1�4L1
�r,'d� e� MN
Phone Number: `�S Z 22 4�� � Date: � � �`� ��
Signature: '
Witness Signature:
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� FRIDL�Y CTTY CODE
CHAPTER 402.WATER,STORM WATER AND 5ANTTARY SERFElt
AD�STRATION
(Ref OrdNo 113,464,565,566,629,638,662,422,988,11A-4,.1156,1191) ,
402.05. PERMTT FEE
Prior to canstirncting or repair of any water or sewer line connecting the existing municipal system and any
house or building for which the applicaiaon is made,the o�tn.er or contractor shall be required to obtam a
. pesm�it for such connection,and s�alt pay a permit fee as provided in Chapter 11 of this Code. After such
____ connection has been made,the Water and Sewer Department shall be notified. It sba11 be�mlawfiil to cover
any connectin.g line tmtil�.inspection has been made and such c�nnection and the work incident thereto
has been aggroved bp the Citp as a proper an�suiiable connection.
402.06. REPAIltS A1VD MASNTENANCE TU GONNECTIUN
Ai�er the initial connection has been made to the water service c►�b stop box or the sewer lead at the
properly line or a water service or sewer lead has been e�rtended to the proPerty line for connection,the
applicant,owner,or the occupant or user of such premisas shall be liable for a11 repaits requaed to�ny
water line and any sewer lines necessary for connection of the premises from the m�n.b�i�.e premises• If
the property owner requests maintenance services or repairs be performed by the City,the prope�ty owner
shall be charged for fihe costs of the mamtenance and/or repairs,including an.y necessary street repairs,at a
rate set amlually by an.ad�unistrati.ve policy. It shall be the responsbility of the applic�t,owner,occnPant
or user to`perform standard mamtenance of the sewer service lin.e�ram the premises to the main mcluding
debris clearing ar root cutking and to maintain the'a+at�'service c�rb stop box for operab�7ity and at such
height as will ensute that it remains above the finished grade ofthe land or properiy (Ref 638,1156,1141j
Request Number: 10700
Public Works Division
Service Request
Problem Address: 5350 7th St Requested By: Laurie Hellum
Department: WATER Address: No address provided
Problem/Issue: NRN WATER ON/OFF Phone Number: 651-493-9575
Sched ate: 2015-11-02 � Scheduled Time:
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ACTION NEEDED:1�arn off water.Forecl sure.Lockbox:OCN
Created by: Wendy Hiatt Date Created: 2015-10-30
ACTION TAI�N: _�,�
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Status: In Progress Resident Contacted �
Date Completed: Completed b :
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