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City of Fridley
water Departmeat
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Name ��c R(2A1— �-�}Pc 1���
Date 1 '" �t�''v�
Old Meter Number L' �
Old Meter Reading �y �
Replacement No. -1� �(.7 . �j�j
Replacement Reading �
Replacement Make (��'��
Remarks•��(� �(j �aG�
Signed
Request Number: 6497
Public Works Division
Service Request
Problem A�ddress: 645 67th Avie Requested By: Carof Fiauge
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-1083
Scheduled Date: 2013-07-25 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
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Created by: Wendy Hiatt Date Created: 2013-07-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑ �
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Carol Hauge, 763-571-1083, AMR @ 1:00 PM
Location: 645 67th Ave NE
Start: Thu 7/25/2013 1:00 PM
End: Thu 7/25/2013 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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' - City of Fridley
Water Department
___ ___
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize tfie City of Ftidley and/or its
empioyees to do what is necessary to replace the water meter. 1 understand that the preperty owner
is iiabte for the water line from the main to the premise and atl interior plumbing. (Per City code
402.06) {also fiold the City of Fridley and/its employees harmless far any damages that may occur
while doing this operation. This to include,but not limited ta;valves�piping,walls,floors or the curb
stap haix and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary. ��
Final meter reading(old meter)
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Name• Address•
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Phone Number: Date: ��� � ��
Signature: l�/�t�� i�
Witness Signature: � O
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FRIDLEY CiTY C�DE
CHAPTER 402.WATER,STORM WA7ER,AND SAN{TARY SEWER
ADM1Nf5TRAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMtT 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 shall be required to obtain 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 shali be notified. It shati be unlawful to cover any connecting 4ine untit an
inspection has been made and such connection and the waik incident thereto has been approved by the City as a
proper and suitable connection.
402.�6.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 lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liabte for ait repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged 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 standard maintenance of
• the sewer service line from 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 property. (Ref 638,1156,1191)
; Request Number: 11188
Public Works Division
Service Request
Problem Address: 645 67th Ave Requested By: Sandi H
Department: WATER Address: No address provided
Problem/Issue: FINAL ME1ER READING Phone Number:
Scheduled Date: Scheduled'Iime:
ACTION NEEDED:Final reading.Clo ng 2/17/16 E #35172596
Created by: Wendy Hiatt Date Created: 2016-02-12
ACTION TAI�N:
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Status: In Progress Resident Contacted Q
Date Completed: Completed by:
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Hiatt, Wendy
m: Hara, Sandra
Sent: Friday, February 12, 2016 1:55 PM
To: Hiatt, Wendy
Subject: final reading needed
Hi
We need a final meter reading at 645-67`h Ave for a closing on 2J17/16. The ERT#is 35172596
Thanks
Sandi Hara
City of Fridley
Utility Bifling
763-572-3530
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