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Request Number: 7076
Public Works Division
Service Request
ProblemAddress: 935 Mississippi Street NE Requested By: Tim Gustafson Wifes phone below
Department: WATER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-229-4518
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Scheduled Date: 2013-10-04 Scheduled Time: 02:30:00
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-09-30
ACTION TAKEN:
Old meter#86445903 Old reading: 819 00 New meter#4�4922469 ERT#35159005
Status: Completed Resident Contacted ❑
Date Completed: 2013-10-04 Completed by: Pete Gunderson
Hours
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Request Number: 7076
Public Works Division
Service Request
__ __ _ __ __
ProblemAddress: 935 Mississippi Street NE Requested By: Tim Gustafson Wifes phone below
Department: WA'fER Address: No address provided
Problem/Issue: INSTALLAMR METER(WATER) Phone Number: 763-229-a518
Scheduled Date: 2013-10-04 Scheduled Time: 02:30:00
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-09-30
ACTfON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compfeted by:
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. City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(7fi3)572-3566
��We hereby authorize the City of Fridley and/or its
employees ta do what is necessary to replace the water mete ii n�do p�umb�g �P Pr��eWner
is liab{e for tfie water line from the main to the premise and a
402.06J I also hotd the City of Fridley andjits emP�l���ited o Ivaives,piping,u+ra��s.fl t�°�C°�
while damg this operation. This to include,but n
stop box and service ilne. 1 understand f am aisa required to ohtain a permit prior to any wark,if
necessary. t ��f'��
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pinal meter reading(ald meter)_ - �
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Name: Address• ,
Phone Number _
oate: � �i
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Slgnature:
Witness Signature:
�RIdLEY GTY CODE
CHAPTER 402.WA7ER,ST�RM WATER�AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566�629,638,662,922,988� 1144.1156,1191) f ' _
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any hause
or buiiding for which the application is made,the owner or contractor shatl be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of thU ia�'�o�over any con e'cti g lineeunti!an
made,the 1Nater and Sewer Department shall be notified. lt shall be
inspection has been made and such cannection and the work incident thereto has been aPproved by the City as a
proper and suitable connection.
402.05.REPAlRS AND MAINTENANCE TO CONNECI'10N
After the initial connection has been made to the watec senrice cur6 s�ap,n�forrc nnect on'the app caat owner,
line or a water service or sewer lead has heen extended to the property I
or the uccupant or user of such premises shali be��amaen to the p emisesulf he p operty owner requests r��nes
necessary for connection of the premi5es fram the owner shaN be charged for the costs of the
maintenance senrice or repairs be performed by the City,the property an administrative
maintenance and/or repairs, includo g��n an�i`�n�a�e�t o�pupant or user to perform standard maintenance of
policy. It shall be the responsibitity PP
• the sewer service line from the premises to Che main including debris c{earing or root cutting and ta maintain the
water service curb stop box for operability and at such height as witi ensure that it remains above the finished
grade of the iand or property. (Ref 638,1156,1191)