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' � Request Number: 6995
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Service Request
. ProblemAddress: 969 Mississlppi St Rtquested By: Doris AAayrars �
Department: WATER Addre�s: No address provicled �
ProblaM�ue: ItQSTALI METER(WATER} Phone Number. � 57'1-B9B8
Schedul�d Date: 2013-0�-77 Scheduled T�ne: . ' 02:Q0:00 ,
ACTlON NEEDED:2093 AMR �
Crsated by: Wendy Ma� • � Date Created: 2013-0�18
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ACTION TAKEN:
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Req uest N u m ber: 6995
Public Works Division
Service Request
ProblemAddress: 969 Mississippi St Requested By: Doris Mayers
Department: WATER Address: No address provided
ProbleMlssue: INSTALL METER(WAIFR) Phone Number: 571-6968
Scheduled Date: 2013-09-17 Scheduled Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ll�'
Date Completed: � _ �� _' � Completed by: �� �L�S�
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City of Fridley
Water Department 1�3�j/)'\E`(`(�� ���'�'�"Z�
6431 University Avenue NE ���n'��_ �
Fridtey,MN 55432 ��
(763)572-3566 �,,'� �['�(�Q�q+CCa
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��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(iabie for the water tine from the main to the premise and all interior plumbing. (Per City code,
402.06) 1 also hoid 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;vaives,piping,walis,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. � � �
er �
Finai meter reading(old met )
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Name• •��� W,��;�'-�-�,Q--Address• �IPR ��AdC4�J.�Y�a�
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Phone Number�(D��'$7j`�L'7c�v_Date: � �
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Signature•
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER .
ADMINISTRATION
(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 shatl pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shail be natified. 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 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 al(repairs required to any water I�ne and sewer lines
necessary for connection of the premises from the main to the premises. If the propecty owner requests
maintenance service or repairs be perFprmed 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 annuatty 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 wili ensure that it remains above the finished
grade of the land o�property. (Ref 638,1156,1191)