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Request Number: 6593
Public Works Division
Service Request
Problem A�ddress: 6882 Monrce St Requested By: Peter A�bskal
Department: WATER A�ddress: No address provided
Problemilssue: INSTALL METER Phone Number: 763-639-8630
Scheduled Date: 2013-08-09 Scheduled Tirr�e: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date C�eated: 2013-08-02
ACTION TAKEN: x �
Old me�r#17286613 Old reading 0720 I�w h�eter#Same ERT#35172593
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Status: Corr�leted Resident Contacted ❑
Date Completed: 2013-0&09 Completed by: Keven Becklin
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Request Number: 6593
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� Service Request ':`
Problem Address: 6882 Monroe St Requested By: Peter Moskal
Department: WATER Address: No address provided
Problemflssue: INSTALL METER(WATER) Phone Number: 763-639-8630
Scheduled Date: 2013-0&09 Scheduled TimB: 09:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&02
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Compieted by:
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Hiatt, Wendy
Subject: Peter Moskal, 763-639-8630, AMR @ 9:00 AM
Location: 6882 Monroe St NE
Start: Fri 8/9/2013 9:00 AM
End: Fri 8/9/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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" _ City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
� empioyees to do what is necessary to replace the water meter. f understand that the property owner
is tiabte far the water line from the main to the p�emise and all int fo oan��am1ages that ma ya�cur
402.06) i also hold the City af Fndfey and/its empfoyees harmless Y
while doing this ope�ation. This to inciude,but not limited to;valves,piping,walls.floors or the curb
stop box and service line. i understand 1 am alsa required to ohtain a permit prior to any work,if
necessary. �
Final meter reading(old meter�
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Afame: Address•
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Phone Number• Date:��—
Signature:
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Witness Signature: j `
FR{DLEY CITY CODE
CHAPTER 402.WATER,S70RM WATER,AND SANtTARY SEWER
ADMlNI5TRA710N
(Ref Ord No 113,464,5b5,566,629,638,662,922,988,114�4.1156,1191} -
402.05. PERMiT FEE
Priar to constructing or repair of any water ar sev�rer line connec a�Q shall benrequired to'ob ain a permit fo�r s ch
or building for w hic h t he app iica t i o n i s m a d e,t h e o w n e r o r c a n t
connectian,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connect ion has be e n
made,the VVater and Sewer Department shall be notified.�fk lncident theretof has been app oved by the City as aR
� inspection has been made and such cannection and the w .
propec and suitable connection.
4p2,06,REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer lead at t;�n�8W er,
iine�r a water service or sewer lead has been e�ctended Co the property line for connection,
the app'
or the occupant or user of such premises sfial{be liable for all repairs required to any wate��ner requests r��nes
necessary for connection of the premisormed bt the Citytthe p operty ow,ne shaU be charged for the casts of the
maintenance service or repairs be perf Y an administrat�ve
maintenance andJor repairs, incfuding any necessary street repairs,at a rate set annuaUy by
policy. It shall be the responsibility of the applicant,ownudinC d br s dear ng arpoot cutt ng and to mai tain thef
• the sewer service Ime from the premises to the mam mcl g
water service curb stop bax for operability and at such height as will ensure that it remains abo�e the finished
grade of the land or property. {Ref 638,1156,1191)
,. . _ _. . . __ � . _. � . .. . 'i'�'cr;�ueSi'�T�F�fb��":��,''�vl ._ _ � _
Public Works Division
Service Request
Problem Address: 6882 Monroe St Requested By: Sandi H
Dep�rtment: WATER Address: No address provided
ProblemlIssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled TTime:
ACTION NEEDED:Final reading.Clos� 11/14/14 E T#35172593
Created by: Wendy Hiatt Date Created: 2014-10-28
ACTION TAI�N: �
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5tatus: In Progress Resident Contacted ❑
Date Completed: Compieted by:
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