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Request Number: 7136
Public Works Division
Senrice Request
Problem Address: 378 66th Av�e Requested By: Ryan w/lnnovafive Basements
Department: WATER Address: No address provided
Problemllssue: TURN WATER ON/OFF(WAlER) Phone Number: 651-249-5054
Scheduled Date: 2013-10-15 Scheduled Time: 11:30:00
ACTION NEEDED: Turn off water. Contractor pinched water line. '*"`**��"�*
Created by: Wendy Hiatt Date Created: 2013-10-15
ACTION TAKEN:
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Status: In Progress Resident Contacted D
Date Completed: Compkted by:
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Request Number: 8022
Public Works Division
Service Request
Prob�m Aeddress: 378-66th Avenue NE Requested By: David Baker
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: Home onfy-763-5747296
Scheduled Date: 201407-01 Scheduled Time: 08:00:00
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ACTION NEEDED: Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-06-06
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Co lete y:
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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 replace the water meter. I understand that the property owner
is liable for the water line from the main to the p�emise and all interior plumbing. (Per City code .
402.06) 1 atso hotd the City of Fridley and/its employees hacmless fo�any damages that may occur
while doing this operation. This to include,but not limited to;vatves,piping,walls,floors or the cur6
stop box and service fine. t understand I am also requined to obtain a permit priar to any work,if
necessary.
Final meter reading(old meter) ��`� �
Name• Address• `J�� ����v�
Phone Number• ��e' ��l ���
5ignature•
Witness Signature:
FRIDLEY CITY CODE
CH ER 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.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shaA be requi�ed to obtain a permit for such
connection,and shaN pay a permit fee as provided in Chaptec 11 of this Cade. Akec such connection has been
made,the Watec and Sewer Department shall be noCified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitabte cqnnection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer iead has been extended to the property tine for cannection,the applicant,owner,
or the occupant or user of such premises shaH be liable for al{repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. ff the propetty owner requests
maintenance service or repairs be performed by the City,the property owner sha11 be charged for the costs of the
maintenance andior repairs, including any necessary street repairs,at a rate set annualty by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user ta perform standard mainte�ance of
° the sewer service line from the premises to the main including debris clearing oc roat cutting and to maintain the
water service curb stop box for operability and at such height as wi11 ensure that it remains above the finished ,
grade of the iand or property. (Ref 638,1156,1191)