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Request Number: 6844
Public Works Division
Service Req�st
ProblemAddress: 6585 Monrce St Requested By: Jeff Hood
Department: WATER Address: No adalress provided
Problemllssue: INSTALL METER Phone Number: 5741864
Scheduled Date: 2013-09-06 Scheduled Time: 01:00:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-29
ACTION TAKEN: � � �
Old meter#94806970 Old reading: 27 80 New meter#44922378 ERT#35159403
Status: Corr�leted Residerrt Contacted O
Date Completed: 2013-09-06 Completed by: Pete Gunderson
Hours
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Req uest N u m ber: 6844
Public Works Division
Service Request
Problem Address: 6585 Monroe St Requested By: Jeff Hood
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 5741864
Scheduled Date: 013-09-06 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&29
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
I/we hereby authorize the City of Fridley and/or its
empioyees to da what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) 1 aiso hold the City of Fridiey and/its employees harmless for any damages that may accur
while doing#his operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. i under�tand 1 am also required to obtain a permit prior to any work,if
necessary.
Fina!meter reading(old meter) �� �� ���
Name�
Address:� � ���---'--'
Phone Number: Date: �� ��
Signature:��•�v��-- ���-��'�-„
Witness Signature:
FRIDLEY CITY CODE
CHAPTER d02.WATER,STORM WATER�AND SANtTARY SEWER
ADMINISTRATIdN
(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 shait be required to obtain a permit for such
cannection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 111tater and Sewer Department shall be notified. it shaif 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.
4U2.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb sCop box or the sewer(ead at t i cant owner,
4ine or a water service or sewer lead has been extended to the property line for connection,the app'
or the occupant or user af such premises shall be liable far all 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 for the costs of the
maintenance andJor 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 af
• the sewer service line from the premises to the main including debris clearing ar 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 af the land or properiy. (Ref 638,1].56,1191}