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Request Number: 6453
Public Works Division
Service Request
Problem Address: 6717 Jefferson St Requested By: Sara Frost
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER Phone Number: 763-438-5318
Scheduled Date: 2013-07-22 Scheduled Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN: � ✓
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Status: Completed Resident Contacted O
Date Completed: 2013-07-22 Completed by: Pefie Gunderson
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Request Number: 6453
Public Works Division
Service Request
ProblemAddress: 6717 Jefferson St Requested By: Sara Frost
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-438-5318
Scheduled Date: 2013-07-22 Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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• - City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to reptace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City tode
402.Q6) !also hold the City of Eridley and/its employees harmless for any damages#hat may occur
whife doing this operalaon. This to inciude,but not limited to;valves,piping,waiis,floors or the curb
stap box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. �
Final meter readin old meter� � � ��
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Name• Address• �� ` � "l'���
Phone Number� Date: � ���
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIaN
(Ref Ord No 113,454,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMiT FEE
Prior to constructirtg or repair of any water or sewer(ine 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 provided in Chapter 11 of this Ctide. After such connection has been
made,the Water and Sewer Department shail be notified. It shall be unlawfui to cover any connecting(ine unti)an
inspection has been made and such cannection and the work 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 fead at the property
line or a water service or sewer lead hasbeen extended to the property line for connection,the applicant,awner,
or the accupant 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 owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs af the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
palicy. 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 raot cutting and ta maintain the
water service curb stop box for operability and at such height as witt ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}