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� Request Number: 6870
Public Works Division
Service Request
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Problem Address: 721 Kennaston Dr Requested By: Travis Hansen
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 672-481-5465
Scheduled Date: 2013-09-04 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&30
ACT10N TAKEN: ✓
Old meter#94282301 Old readi 82 0 New meter#44921329 ERT#35191785
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Status: Corr�leted Resident Contacted ❑
Date Completed: 2013-09-04 Completed by: Pete Gunderson
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Req uest N u m ber: 6870
Public Works Division
Service Request
Problem�idress: 721 Kennaston Dr Requested By: Travis Hansen
Department: WATER Auldress: No address provided
Probiem/Issue: INSTALL METER(WATER) Phone Number: 612-481-5465
Scheduled Date:� 2013-09-04 �Scheduled Time: 07:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-OS-30
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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,. � - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�fWe hereby authorize the City of�ridley and/ar its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) I also hold the City of Frid(ey and/its empiayees harmless for any damages that may occur
while doing this operation. This to include,hut 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.
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Fina!meter reading(old meter) ,J�'a�'' '���
Name: Address: /�� 1(r
Phone Number•
Date: �—�_,�
Signature• �-
Witness Signatu�e:
FRIDLEY CITY CODE
CHAPTER+402.WATER,STORM WATER,ANa SANITARY SEWER
ADMINISTRATICIN
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,1144, 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 buiiding for which the application is made,the owner or contrector shall be required to obtain a permit for such
cannection,and shall pay a permit fee as provided in Chapter 11 of this Gode. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has 6een made and such cannection and the work incident thereto has been approved by the City,as a
proper and suitable connection.
4Q2.Q6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectian has heen made to the water service curh stop box or the sewer lead at the property
line or a water service or 5ewer 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 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 shall be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually byan administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standa�d maintenance af
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curh stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 6816
Public Works Division
Service Request
ProblemAddress: 821 Kennaston Dr Requested By: William Luithly
Department: WATER �Idress: No address provided
Probiemllssue: INSTALL METER(WATER) Phone Number: 5740649
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Scheduled Da : 2013-08-28 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
�reated by: Wendy Hiatt Date Created: 2013-0&23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
`� -�'� - l3 -�
- 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. 1 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 Fridiey and/its employees harmless for any damages that may occur
while doing this aperatian. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter) �� �� ���
Name• Address: V�, ''�"�u���
,�_ � ��
Phone Number• �e'
. �
- Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SIRNlTARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565, 566,629,638,662,922,98$, 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 shali be notified. It shall be unlawful 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
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 sewe�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 ar user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ly 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 applicant,owner,occupant or user to perform standard maintenance vf
• 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 wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191) •
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