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Request Number: 6476
Public Works Division
Service Request
Problem A�ddress: 6747 Jefferson St Requested By: Scott Robbins
Department: WATER A�ddress: No address provided
Problemilssue: INSTALL METER Phone Number: 763-571-7857
Scheduled Date: 2013-07-23 Scheduled Time: 08:00:00
AC170N NEEDED:2013 AMR
Created by: Wendy Hiatt Date Created: 201&07-22
ACTION TAKEN:
Oid meter#6863764 Old readin . 026 , 0 New meter#44248434 New reading: 0 ERT#35,72626
Status: Completsd Resident Contacted ❑
Date Completed: 2013-07-23 Cornpleted by: Pete Gunderson
Hours
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Request Number: 6476
Public Works Division
Service Request
, Probiem Address: 6747 Jefferson St Requested By: Scott Robbins
Department: WATER Address: No address provided
Problem/Issue: INSTALL ME1ER(WATER) Phone Number. 763-571-7857
Scheduled�;` 2013-07-23 �� Scheduled Time: 08:00:00
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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: Compteted by:
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Hiatt, Wendy
Subject: Scott Robbins, 763-571-7857, AMR @ 8:00 AM
Location: 6747 Jefferson St NE
Start: Tue 7/23/2013 8:00 AM
End: Tue 7/23/2013 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy ,
,
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
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) 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,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. .
Final meter reading(old meter)
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Name• Address:-��-'—s-_`.� '`
Phone Number: ate: �-��"�1� r
Signature: �
Witness Signature: ''�
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FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATIaN
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line 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 shall be notified. It shall be unlawfui to cover any connecting line until an
inspection has been made and such con�ection and the wor�C ir►cident 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,owner,
or the occupant or user of such premises shali 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 shal{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,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)