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Request Number: 6387
Public Works Division
Service Request
Pcobiem Address: 1604 Berne Rd� Requested By: r►6dlee-m�Btr►-�rc�nk,lin P���^�h�� ;:n
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: ���� �L��
Scheduled Date: 2013-07-11 Scheduled Time: 10:00:00
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AC710N NEEDED: Tum water off for repair �� O,F,� � �•�q� �}�� ����
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Created by: Wendy Hiatt Date Created: 2013-07-11
ACTION TAKEN: ��(Ok'Ir��Z P� �'��-� �`_`
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Status: In Progress Resident Contacted ❑
Qate Completed: Completed by:
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City of Fridley .
, ' �Tater 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 stop box. I understand
that the properly 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 employees harmless for any
damages that may occur while doing this opera.tion. This to include,but not li.mited to,
sod, yard,landscaping,trees, shrubs, driveways, sidewalks or the curb stop bax and
service line. I understan.d I am.also required to obtain a permit prior to any work.
Nam.e: � � Address: ��� � �� �> 1� � �
Phone Number: Date: �--�'�'i �
Signature:
Witness Signa.ture:
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FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER AND SA.NITARY.SEWER
ADIYIIl�TISTRATION
(R.ef Qrd No 113,464,565,566,629,638,fi62,922,988, 1144, 1156,1191)
402.05. PERMTr FEE
Priar to constructing or repair of any water or sewer line connecting the e��isting municipal system and auy
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 t3ais Code. After such
connection has been made,the Water and Sewer Department shall be notified. It shall be unlawftil to cover
any connecting line until au inspection has been made and such connection and the work incident thereto
has been approved by the City as a proper and s�ritable connection.
402.06. REPAIRS AND MAIlVTENANCE TO CONNECTIUN
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 li.ne for connection,the
applicant,owner,or the occupant or user of such premises shall be liable for all repairs required to any
water line and any sewer lines necessazy for connection of the prennises from the main to the premises. If
the properiy owner requests maintenance services 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,occupaut
or user to'perform standard maintenance of the sewer service line fram the premises to the main including a
debris clearing or root cutting and to maintain the water service curb stop box for aperability and at such ��
height as wiU ensure that it remains above the finished grade of the land or properiy (Ref 638, 1156, 1191j