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Request Number: 6986
Public Works Division
Service Request
Problem Address: 881 NGssissippi St Requested By: Cu�t Hanson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-208-7761
Scheduled Date: 2013-09-18 Scheduled Time: 07:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy F�atk Date Created: 2013-09-17
ACTION TAKEN: �
Old meter#99351262 Old readin : 87 201�w meter#44920812 ERT#35159994
Status: Completec! Resident Contacted ❑
Date Completed: 2013-09-18 Completed by: Pete Gunderson
Hours
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Request Number: 6986
Public Works Division
Service Request
Problem Address: 881 Mississippi St Requested By: Curt Hanson
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-208-7761
Schedu ate• 2013-09-18 � Sched,uled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-17
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
(763j 572-356fi
��We fiereby 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 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
whiie doing this operation. This to include,but not limited to;va{ves,piping,watls,flao+�s 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) v������
Name• Address C %�' ' " '��,�t� `
Pfione IVumber Date• � ��� ��
Signature�
Witness Signat �
FRIDLEY CITY CODE
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 buiiding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail 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 shail be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident theretofias 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 ar the sewer lead at the property
line or a water service or sewer lead has been extended to the property fine 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 connectian of the premises from the main to the premises. tf the prope�ty owrner 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 of
� the sewer service l�ne 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�