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Request Number: 7184
Public Works Division
Service Request
Problem Address: 1315 66th Av�e Requested By: Patiy w/Artisan Plumbing
Department: WATER Address: No address provided
Problemlissue: TURN WAlER OIWOFF(WATER) Phone Number: 612-750-3468
Scheduled Date: 2013-11-06 � Scheduled Time: �a��{� '
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ACTION NEEDED: Shut off water and leav�e key. ***"BILL**""'
Created by: Wendy Hiatt Date Created: 2013-10-30
ACTION TAKEN:
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Status: In Progress Resident Contaated ❑
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 s�op box. I understa�.d
that the property owner is liable for the water line from the main to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its emplayees harmless for any
dam.ages tkat may occur while doing this operation. This to include,but not Iimited to,
sod, yard,landscaping,trees, shnxbs,driveways, sidewalks or the curb stop box and
service line. �nnderstan.d I am also required to obtain a permit prior to any work.
Name;� �L_l�__��1.I�Address: ��� � `' ��r��(��
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Phone Number:
6 �7 r� �J� Date: � r' ��
Signature: ''`'
Witaess Signature:
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FRIDLEY CTTY CODE
CHAPTER 402.WATER,5TORM WATER AND 5ANITARY SEWER
ADNIINISTRATION
(Ref Ord No 113,464,565,566,629,638,fi62,922,988, 1144,1156,1191)
442.05. PER.MiT + �E
Prior to constructinp or repair of any water or sewer line connecting the existing municitpal system and any
house or building for which the application is made,the own.er or contractor shall be required to obtam a
permit for such connection,and shalt pay a permit fee as piovided in Chapter 11 of this Cod�. After such
connection has been made,the Water and S�wer Department shall be notified. It shati be znilawfiil to cover
any conneciing line until an inspection]�as been made and such connection aud the work incident thereto
has been appraved by the City as a praper at�d suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the i.nitial connection has been made to the water service curb stop box or the sewer lead at the
pmperty line or a water service or sewer lead has been extended to the properiy line for cdnnection,the
applicamt,owner,or tb,e occupant or user af such premises shall be liable for all repairs requited to�y
water line and any sewer lines necessa.ry for connectian af the premises from the main to t�e premises. If
the property owner requests maintenance sezvices ar repairs be perfarmed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,includi.ng any necessary street repa�rs,at a
rate set annually by an a�m�nfs�tive policy. It shail be the responsibility of ttie applicant,owner,occupant
oruser to'perform standard maintenance of the sewer service line frum the premises to the main.including
debxis clearing or root cuttin.g and to maintain the water service cttrb stop box for aperability and at such
height as wi]1 ensute that it remains above the finished grade of the land or properiy: (Ref 538, 1156, 1191j
Request Number: 7169
Public Works Division
Service Request
Problem Address: 1315 66th Av�e Requested By: Betiy Ann Addison
Department: WATER Address: No address provided
Problemllssue: STANDPIPE(WATER) Phone Number: 763-242-5009
Scheduled Date: 2013-10-24 Scheduled Time:
ACTION NEEDED: Mark standpipe with paint and flag.
Created by: Wendy Hiatt Date Created: 2013-10-24
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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