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Request Number: 7098
Public Works Division
Service Request
ProbfemA�ddress: 6730 Madison St Requested By: Juditfi Sperino
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-1996
Scheduled Date: 2013-0&02 Scheduled Time: 10:00:00
ACTION NEEDED: AMR
Created by: Wendy Hiatt Date Created: 2013-10-04
ACTION TAKEN:
Old meter#14337496 Old reading 69 90 New meter#44248374 New reading: 0 ERT#35191509
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Date Completed: 2013-08-02 Complel�/i�: Kewen Becldin
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Request Number: 6494
Public Works Division
,��n Service Request
� ProblemAddress: 673�ieF►�t Requested By: Judith Sperino
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-1996 .
Scheduled Date:, 2013-08-02 � Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-24 '
ACTION TAKEN:
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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
�jWe 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 liabie far the water line from the main ta the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley andJits empioyees harmless for any damages that may occur
while doing this operation. This to include,but not fimited to;vaives,qiping,walis,fioors or the curb
stop box and service iine. t understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) (j�� � � `�
Name• Addressc
Phone Number: Date• � �� � ��
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5lgnature• ,�
Witness Signature:
FRiDLEY CITY C�DE
CHAPTER 4Q2.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRA7IUN
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1291)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the application is made,the owner or wntractor 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 shalf be notified. It shail be unlawfui 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 cu�b 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 shall be liable for all�epairs required to any water line and sewer lines
netessary 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 praperty 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 adminisCrative
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 cuttin�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)