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Request Number: 7029
Public Works Division
Service Request
Problem A�ddress: G530 Oakley Dr Requested By: Joe Burns
Department: WATER ' Address: No address provided
Problemlissue: INSTALL METER Phone Number: 571-7341
Scheduled Date: 2013-10-01 Scheduled Time: 02:30:00
ACTION NEEDED:2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-23
ACTION TAKEN: �
Old meter#17358177 Old reading•�0 New meter#44922410 ERT#35159083
Status: Completed Resklent Contacted ❑
Date Cotnpleted: 2013-10-01 Completed by: Pete Gunderson
Hours
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Request Number: 7029
Public Works Division
Service Request
Problem A�ddress: 6530 Oakley Dr Requested By: Joe Burns
Department: WATER �idress: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-7341
Schedule�Date:- 2013-10-01 Scheduled Time: 02:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Comp�ted b�:
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_ City of Fridley
Water Department
__ __.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridiey and/or its oWner
� employees to do what is necessary to replace the water meter. I understand that thP prupe�e
is liable for the water line from the main to the premees harmless f r�any dam'ages that may occur
402.06J I also hold the City of Fridley and/its employ
while doing this operation. This to include,but not limite t000bta'a�perrn t�P ur tc any wo k e f urb
stop box an d service line. I u n d e r s t a n d i a m a l s o re q u i r e d
necessary. � ���'`�
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Final meter reading(old meter) A
Address: ~�
Name: �
Phone Number•
Date: �O�`—�
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4�2•WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord Na 113,464,5fi5,566,629,638,662,922,988,1144.1156,1191) _
40Z.05. PERMIT FEE
Prio�to constructing or repair of any water or sewer line connectin�o sh 11 be equ redto'ob ain a perm'�t for s ch
or building for which the app lica tion is m a d e,t h e o w n e r o r c o n t r a c t
cannection,and sha{I pay a permit fee as Phali be n t f ed. It hail be u lawfui to cover anyconne'cti g I neeuntil an
ma de,t h e V V a t e r a n d S e w e r D e p a r t m e n t r o v e d b y t h e C i t y as a
inspection has been made and such connection and the work incident thereto has b e e n a p p
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb�aP'ne for connec onI the appl'tcant owner,
line or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shall be liable for all repairs required to any wato�ner reduests r��nes
necessary for connection o a'hs tiee erformed by the Citytthe p operty owlner hall be charged for he costs of the
maintenance service or rep P
maintenance and/or repairs, including any necesn�awnert occupant or u er to perform standa d maintenance af
policy. ft shall be the responsibility of the appl�ca ,
• the sewer service line from the premises to the main inciud�n ade 1e 5ure t at t ma ns abo e the finished he
water service cur6 stop box for operability and at such he g
grade of the land or property. (Ref 638,1156,1191)