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Request Number: 8004
Public Works Division
Service Request
ProblemA�ddress: 372-66th av�e NE Requested By: Kelly Slavin
Department: WATER Address: No address provided
Problemlissue: WSTALLAMR METER Phone Number: ceN only 612-300-8561
Scheduled Date: 2014-06-06 Scheduled Time: 08:00:00
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ACTION NEEDED: `
Created by: Cheryl Pellegrin Date Created: 2014-06-05
ACTION TAKEN: r
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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. - City of Fridley
, - Water Department _ ..
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566 "
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repface the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interiar plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any dama�es that may occu�
while daing this operation. This to include,but not timited to;vatves,piping,walls,ftoors or the curb
stop box and service line. I understand 1 arn also required to obtain a permi#prior to any work,if
necessary. �
r �n old meter � � �
Pinai meter ead g( 1 �
Name• Address•
Phone Number Date• v � ' !
.
Signature•
IAlitness Signature•
,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629, 638,662,922,988, 1144, 1156, 1191)
402.05. PERMi7 FEE
Prior to constructing or repair af any water or sewec line connecting the existtng municipal system and any hous.e
or buiiding for which the application is made,the owner or contractor shall be required ta obt�in a permit for 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 Department shall be notified. It shall be uniawful to cover any connecting line until an .
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connedion.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
line or a water service or sewer lead has been eutended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shal!be liable for aN repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope�ty owner requests
maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of the
meintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. tt shall be the responsibitity of the applicant,owner,occupant ar user to perForm standard maintenance of
� the sewer service line from the premises to the main inciuding debris cfearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains ebove the finished
grade of the land or property. (Ref 638,1156,1191)