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Request Number: 7034
Public Works Division
Service Request
ProblemA�ddress: 6611 Jackson St Requested By: Hans I�eem
Department: WATER A�ddress: No address provided
Problemlissue: INSTALL METER Phone Number: 763-443-9411
Scheduled Date: 2013-09-24 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-24
ACTION TAKEN:
Old meter#15141228 Old readin : 554 20 New meter#44922358 ER7#35172449
Status: Completed Resident Contacted ❑
Date Completed: 2013-09-24 Completed by: Pete Gunderson
Hours
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Request Number: 7034
Public Works Division
Service Request
Problem Address: 6611 Jackson St Requested By: Hans Rheem
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-443-9411
Scheduled Date: 2013-09-24 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed b :
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Hiatt,.�'�endy
Subject: Hans Rheem, 763-443-9411, AMR @ 11:30 AM
Location: 6611 Jackson St NE
Start: Tue 9/24/2013 11:30 AM
End: Tue 9/24/2013 12:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1 .
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_ City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley andJor its oWner
employees to do what is necessary to replace the water meter. 1 understand that the property
is liable for the water line from the main to the premise and a�iess fo rany dam�ages that mayooc.cur
402.06) i also hold the City of Fridley and/its employees harm
while doing this operation. This to include,6ut not limited toobta'n a,perm t/priorsto any work,if u�
stop box and service line. i understand I am alsa required to
necessary. �� ��
Fina(meter reading(old meter) �
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Name' Address'
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Phone Number• Date:
Signature:
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Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402•WATER,STORM WATER,AND SAN{TARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988�1144,1156,1191) _
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connectingo shali ben equ redto'bt in a permit for such
or buiiding fo�which the application is made,the owner or contract
connection,and shall pay a permit fee as P�a��be n t fed.tlt shall be unlawfui to cover any c n e1cti g line until an
made,the Water and Sewer Department sh roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curh stop bax or the sewer leta� P�'i�n ow er,
4ine or a water service or sewer�eae h5e b halt be liable for ail repap s req red to any waiter line and sewer lines
or the occupant or user of such p owner re uests
netessary for connection of ths�pee erformed by the�tYtthe p operty owne shall be charged for he costs of the
maintenance service or repa�r p an administrative
maintenance and/or repairs, including any ne'ce�n�aw e�t o pupant or user to perfo m standard maintenance af
palicy. It shali be the responsibility of the app'
• 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: 10519
Public Works Division
Service Request
Problem Address: 6611 Jackson St Requested By: Sandi Haza
Department: WA1ER Address: No address provided
Problem/Issue: P�6lf,L,��fi Phone Number:
ScheduledDate: �k�3,(��S-Q�-17.; ScheduledTSme:
ACTION NEEDED:Scan Closing on 9/17/15 RT#35172449
Created by: Julie Horak Date Created: 2015-09-10
ACTION TAI�N:
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Status: TnProgress ResidentContacted ❑
Date Completed: Completed by:
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