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� Water D artment o�-�5"' �� ,
Address (�
Name ��"'�
Date 1�' '!� � -�-�--
Old Meter Number �/�_°"�-
41d Meter Reading
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Replacement No. 3�-f�--� ����
Replacement Reading^�
Replacement�ake
ERT#
Replacement ERT#
Remarks: ,
Signed ;� �Ir"J P ' ----
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Re#erenca No. 601-07-0698 ������� ��� ��9'V3�� ���3�3t'� . . .
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Service Ret�uested turn water on, re-i.n.stall meter Date 11/1/07 ��me 10:45 �M
, Depattment pnblir_ Works Divis9on Water
Location of Service need 937 68th Ave NE
Owner or Agent of Property Don Dickert Edina 8ealty Phone: {H) 651-269-5279
Name of C�tizen Phone: (H) .
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Address
De#3iis ofi Request gome is being sold � they want to do an i_nspection. Please turn wa.ter
on @ the street. The home has been winterized so the meter needs to be re-installed.
� Please turn wa.ter on & get a reading of the water meter. Appointment set for Friday, `
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PTovember 2, 20�7 @ `9:30 AM.` Per.realitor, the water can stay on, wi.11 berclosing on
home in December. Bill to: Edina Realty C/O Don Dickert 500 Village Center Dr N Oaks 55127
If ealitor 1S *'��nnindu lgte the code to the lock boz is AJD.
Ret�uest Taicest By: Jeana.
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Person respon�ible for request �,�je(l � ��-��- Title
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Date Cfeare�i � �"'a'"�� ' � � ' Citiz�n notified! Yes No
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Signature,of person ciearing'rer{uest
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Request Number: 6931
Public Works Division
Service Request
Problem Address: 937 68th Av�e Requested By: Shaina Nelson
Department: WATER Address: No address provided
Problemllssue: INSTALL ME1�R(WATER) Phone Number: 763-221-8237
Scheduied Date: Scheduled Time: 01�3Q:00
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ACTtON NEEDED: 2013 AMR
Created by: Wendy Hiaft Date Created: 2013-09-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compieted: 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
empioyees to do what is necessary to replace the water meter. 1 understand that the property owner
is liabte far the water line from the main to the premise and all interior plumbing. (Per Gty tode
402.06� I also hoid the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to intlude,but not limited to;vaives,piping,walis,floors or the curb
stop box and service line. 1 understand 1 am atso required ta obtain a permit prior to any work,if
necessary. �i�
Final meter reading(old meter) �
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Name• _ Address• �V
Phone Number� Date: � �) �v� .
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Witness Signature:
FRIDLEY CITY C4DE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,5651566,629,638,662,922,988,1144, 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 application 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 Vtlater and Sewer Department shall be notified. It sha(f be untawfui 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 suitable connection.
402.06.REPAIRS AND MAINTENANCE 70 CONNECTION
After the initia!connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or 5ewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall 6e fiable for all repairs required to any wate�line and sewer lines
necessary for connection of the premises from the main to the premises, lf 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 byan administrati�e
policy. It shall be the responsibility of the appiicant,owner,occupant or user to perform standard maintenance af
- 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 ofthe land or property. (Ref 638,1156,i19i}
,