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Request Number: 6934
Public Works Division
Service Request
Problem A�ddress: 6568 Cbv�er PI Requested By: Rita Daniels
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-9322
Scheduled Date: 2013-10-01 Scheduled Time: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN: ✓
Old meter#87599053 Old reading�90 New meter#44920800 ERT#35172492
Status: Completed Resident Contacted ❑
Date Completed: 2013-10-01 Compfeted by: Pete Gunderson
Hours
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Request Number: 6934
Public Works Division
Service Request
Problem A�ddress: 6568 Clov�er PI Requested By: Rita Daniels
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-9322
Scheduled Date: 2013-10-01 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compkted 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/ar its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City tode
402.06) 1 aiso hold the City of Fridley and/its employees harmless fa�any damages that may occur ,
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. i understand I am also required to obtain a perrr�it prior ta any work,if
necessary. ��� ��O
Final meter reading(old meter) �
Name:
Address• ,��'� �����
Phone Number• Date: l b—(!`�
Signature:
Witness Signature: �
FRIaLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATI�N �
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191} -
402.05. PERMIT FEE
Frio�to constructing ar repair of any water or sewer line connecting the exfsting municipaf system and any house
or building for which the application is made,the owner or contradar 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 1Nater and Sewer Department shall be notified. tt shall be unlawful 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 suitab{e connedion.
402.n6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water senrice curb s�op box or the sewer iead at t i�nt owner,
Iine or a water service or sewer lead has been extended to the property line for connection,the app'
or the occupant or user of such premises shall be liable for all repairs required to any water tine and sewer lines
necessary for connection of the premises from the main to the premises. If the property awner 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 shail be the�esponsibiliry 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)