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Request Number: 6484
Public Works Division
Service Request
Problem A�ddress: 6716 Jefferson St Requested By: Mary Jo Seaberg
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL ME'TER Phone Number: 763-5749833
Scheduled Date: 2013-07-31 Scheduled Time: 08:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-23
ACTION TAKEN: �
Old meter#10805044 Old readin 316 New meter#44248464 New reading: 0 ERT#35191722
Status: Completed Resident Contacted O
Date Completed: 2013-07-31 Completed by: Pete Gunderson
Hours
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Request Number: 6484
Public Works Division
Service Request
Problem Address: 6716 Jefferson St Requested By: Mary Jo Seaberg
Department: WATER Address: No address provided
Probkmllssue: INSTALL METER(WATER) Phone Number: 763-5749833
Schedule Date: 2013-07-31 �,,,r Scheduled Time: 08:00:00
ACT�N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-23
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Mary Jo Seaberg, 763-574-9833, AMR @ 8:00 AM
Location: 6716 Jefferson St NE
Start: Wed 7/31/2013 8:00 AM
End: Wed 7/31/2013 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
' - 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. f understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.05) i also hold the City uf�ridtey and/its employees harmless for 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 requtred to obtain a permit prior to any work,if
necessary. � � �`
� 11
Final meter reading(old meter)
N me: yAddress: � � ��'��Sbl�
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Phone Number Date: /✓� `� ,�
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
40Z.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 p�ovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line untii an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper 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 property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shali be liable for all repairs required to any water line and sewer fines
necessary for connection of the premises from the main to the premises. If 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 by an administrative
policy. It shall be the responsibility of the appiicant,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 far operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)