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�' � Request Number: 6514
Public Works Division .
Service Request
Problem A�ddress: 6820 Monroe St Requested By: Kathleen Goldstrand
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-242-5161
Scheduled Date: 2013-0&16 Scheduled Time: 02:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-26
ACTION TAKEN: X �/
Old meter#18619922 Old reading 338 80 w meter#Sbme brass body ERT#35191048
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Status: Completed Resident Contacted ❑
Date Completed: 2013-08-16 Completed by: Pete Gunderson
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Request Number: 6514
Public Works Division
Service Request
Problem Address: 6820 Monroe St Requested By: Kathleen Goldstrand
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WAIER) Phone Number: 763-242-5161
Scheduled Date: 2013-0&16 Scheduled Time: 02:30:00
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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 ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Kathleen Goidstrand, 763-242-5161, AMR @ 2:30 PM
Location: 6820 Monroe St NE
Start: Fri 8l16/2013 2:30 PM
End: Fri 8/1612013 3:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt,Wendy
1
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City af Fridley
Water Department
_ __ _.
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
t/we hereby authorize the City of Fridley andjor its
employees to do what is necessary to reptace tfie water meter. 1 understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
40Z.d6) 1 also hotd the City of Fridiey andJits employees harmless for any damages that may occur
whife doing this operation. Tfiis to include,but not timited to;valves,piping,watis,ftoars or the curb
stop box and service tine. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading{old meter)
Name: Address: ��'`�������
Phone Numb : Date: �"��� ��
Signature:
Witness Signature:
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRATIaN
(Ref Urd No 113,464,565,566,629,638,662,922,98$,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipat system and any house
or building for which.the application is made,the owner or coniractor shafi be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shai{be notified. tt shatl be untawfut to cover any connecting tine untii an
inspectian has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.Q6.REPAtRS AND MAINTENANCE TO CONNECTf�N
After the initiat connection has been made ta 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 fine for connection,the applicant,owner,
or the occupant ar user of such premises shall be iiable for ait�epairs required to any water line and sewer lines
necessary far connection of the premises frorn the main to the premises. tf the property owner requests
maintenance service or repairs be performed by the Gty,the property owner shat!be charged for the casts of the
maintenance and/or repairs, inctuding any necessan/street repairs,at a rate set annua{ly by an administrative
policy. tt shall be the responsibility ofi the appticant,awner,accupant ar user to perform standard maintenance af
• the sewer service tine from the premises ta the main inciuding debris clearing or root cutting and to maintain the
water service curb stop box for aperability and at such height as wiH ensure that it remains above the finished
grade af the land or property. (Ref 538,1156,1191�