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Request Number: 6475
Public Works Division
Service Request
Problem A�ddress: 6726 Jefferson St Rsquested By: Janis Redman
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 763-571-5558
Scheduled Date: 2013-07-23 Scheduled T1me: 11:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-22
ACTION TAKEN:
Oid meter#10805045 Old reading: 97 50 New meter#44248339 New reading: 0 ERT#35172595
Status: Completed Resident Contacted ❑
Date Compfeted: 2013-07-23 Compieted by: Pete Gunderson
Hours
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Request Number: 6475
Public Works Division
Service Request
ProblemAddress: 6726 Jefferson St Requested By: Janis Redman
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WA"fER) Phone Number: 763-571-5558
Scheduled Date: 2013-07-23 Scheduled Time: 11:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-22
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wend
Subject: Janis Redman, 763-571-5558, AMR @ 11:00 AM
Location: 6726 Jefferson St NE
Start: Tue 7/23/2013 11:00 AM
End: Tue 7/23/2013 11:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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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
emptoyees to do what is necessary to replace the water meter. I understand that the property owner
is liabte fQr the water line from the main to the premise and all interior plumbing. (Per City wde
402.Q6) I also hold the City of Fridley and/its employees harmless for any damages that may occur
. while doing this operation. This to include,but not limited to;valves,piping,walis,floars or the curb
stop box and service line. 1 understand i am also�equired to obtain a permit prior to any work,if
necessary. �� � ��
Final meter reading(old meter)
Name�
Address• ` '
Phane Number: Date• ` _��'—��
Signature: '���� �L����
Witness Signature:
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER,AND SAN{TARY 5EWER
ADMiNiSTRATION
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191�
402.05. PERM{T ffE '
Prior to constructing oc repair of any water o�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 provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any connecting iine untit an
inspection has been made and such connection and the work incident ihereto has been approved by the City as a
proper and suitable connedion.
4d2.06.REPAIRS AND MAINTENANCE TO CONNECYtON
After the initial connedion 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 hasbeen extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line 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 shaif 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 applicant,owner,occupar+t o�user to perform standard maintenance of
- the sewer service line from the prerr�ises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for opecability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191a