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Request Number: 6947
Public Works Division
Service Request
ProblemAddress: 6739 Jackson St RequestecP By: Tim Moore
Department: WATER Address; No address provided
Problemllssue: INSTALL METER Phone Number: 571-0784
Scheduled Date: 2013-09-10 Scheduled Time: 11:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiait Date Created: 2013-09-10
ACTION TAKEN: � .
Old meter#Ki5405246 Old readi :271 60 New meter#44922367 ERT#35159774
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Status: Completed Resident Contacted ❑
Date Completed: 2013-09-10 Completed by: Pete Gunderson
Hours
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Request Number: 6947
Public Works Division
Service Request
Problem Address: 6739,Jackson St Requested By: Tim Moore
Department: WATER �idress: No address provided
Problemllssue: INSTALL ME7ER(WATER) Phone.Number. 571-0784
Scheduled Date: 2013-09-10 .� Scheduled Time: 11:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-10
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department j�(J���j���
6431 University Avenue NE � ��'
Fridley,MN 55432 �
(763)572-3566 ��t��j��y
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��We hereby authorize the City of Fridley and/or its
`{ employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. . � 1 �/ �
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Final meter reading(oid meter)
y Address: C'% [ �/ � ' '"` ��
Name• �
Phone Number• Date: ` 1�' � �
Signature: �,� /�' � ,r 7G��
Witness Signature:
FR{DLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1391)
402A5. PERMIT FEE
Prior to constructing or repair of any water ar 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 shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. it shaH be unlawfu{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
propes and suitable connection.
402.06. 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 praperty
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 liable for ail repai�s required to any water line and sewer fines
necessary for connection of the premises from the main to the premises, ff the prope[ty owner reguests
maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily 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)