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Request Number: 7093
Public Works Division
Service Request
ProblemA�ddress: 6551 aaldey Drive Requested By: WiUiam Lepsch
Department: WATER A�ddress: No address provic�
Probtemllssue: INSTALL REGULAR METER Phone Number:
Scheduled Date: 2013-10-03 3cheduled Time: 09:00:00
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-10-02
ACTION TAKEN:
Otd meter#10773784 OId readin 387 70 New meter#44922507 ERT#351590
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Status: Completed Resident Contacted O
Date Completed: 2013-10-03 Completed by: Pe�Gunderson
Hours
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FROM :�ITY OF FRIDLEY FAY, ND. :763571128� Oct. @2 2013 01:2�PM P1
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I�equest Number: rp93
Public warks Division
�ervice Request
Pre�blem Ad�lress. 6�'i1 O�ki�t Drive Ree�ested By: VMf��n Le�ch
Depa�tmant: WATER Address: Iva address pmvidad
Prol�lemtl�rue: INSTAI.L REGULAR AA�TER p�one NwY+ber:
(WA'i'EI�
8chedulsd Dste: 2013-1Q-U3 Sch�duled Txr�: C�J:OO:t)0
ACT10N NLE[}ED:
Createai by: Jearinie Benson Uste Cres#ad: 201�10-OZ
AGTK3N TAKEN:
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8tatus: tn Pragress R�sui�hr+t Cor�d tJ
t)ata Cor�edc Compietec�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�ty of�ridiey and/o�lts a�ner
employees to do what is necessary to replace the water meter. I undorsti ndb ng t�PeRCity code
is liable for the water line from the main to the premise and ail�nte p
402.06) I also hold the City of Fridley andJits empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,p�pm���orsto any work,if�rb
stop box and service line. i understand I am also required to obtain a pe p
necessary. � � ' ���
Final meter reading(old meter) �
Address• �./� � ��
Name• •
. Date: (����
Phone Numt�er:
,
Signature:
Witness Signature:
FRIDLEY CITY CUDE
, CHARTER 402-WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191} _
402.05. PERMIT FEE
P�o�to constructing or repair of any water or sewer line connectingo sha11 be eq fed to b ain a permit for such
or building fo�which the application is made,the owner or contrad
connection,and shali pay a permit fee as P�all'be not fed. It shall be unlawfui to cover anycon eicti g lineeuntil an
made,the V1later and Sewer Department sh roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
propec and suitable connection•
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to 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 Che property line for connection,the applicant,owner,
or the occupant or user of such premises shall be iiable for all repairs required to any wato�ner requests r�ines
necessary far connection of the premises from the main to the premise�s�nfe shall be charged for the costs of the
maintenance service or repairs be performed by the City,the property an administrative
maintenance andJor repairs, ini{�Qn�he applicasnt awnert o cupant or user to perfarm standard maintenance of
policy. It shall be the responsib ty
• the sewer service line from the premises to the msuch he'ah as w II ensure hat t mauins abo e the fin shed e
vuater secvice curh stop box for operability and a g
grade of the land or property. (Ref 638,1156,1191)