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Request Number: 6518
Public Works Division
Service Request
Problem Address: 6710 Monroe St Requested By: Jan Johnson
Department: WATER Address: No add�ess provided
Problemitssue: INSTALL METER Phone Number: 763-571-6541
Scheduled Date: 2013-08-02 Scheduled Time: 10:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-26
ACTION TAKEN: �
Old meter#87038101 Old reading 217 90 New meter#44248327 New reading: 0 ERT#35191584
Status: Completed Resident Contacted ❑
Date Completed: 2013-08-02 Completed by: Kewn Becldin
Hours
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Request Number: 6518
Public Works Division
Service Request
Problem Address: 6710 Monroe St Requested By: Jan Johnson
Department: WATER Address: No address provitled
Problemllssue: INSTALL ME1ER(WATER) Phone Number: 763-571-6541
Scheduled Date: 013-0&02 � Scheduled Time: 10:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-26
ACTION TAKEN:
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Status: In Progress Resident Contacted `�
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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 andior its �
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable far the water line from the main to the premise and all interior plumbing. (Per City code
402.06j I also hold the City of Fridfey and/its employees harmtess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,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.
Final meter reading�old meter) � �� � � _1 v
Name• Address�
Phone Number Date• ll'�o" � � �
Signature: C—�
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Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
/1DMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,98$, 1144, 1156,1191)
402.05. PERMtT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipa(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 shall 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 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 connectian. �
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 prope�ty
line or a water service or sewer lead hasbeen extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for aii 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 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 line from the premises to the main including debris clearing orroot cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it'remains above the flnished
grade of the land or property. (Ref 638,1156,1191j