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Request Number: 7078
Public Works Division
Senrice Request
Problem A�ddress: 6558 Oaldey Dr. 1� Requested By: Susan Lawlor/Mike Flan
Department: WATER A�ddress: No address provided
Probleml�sue: INSTALLAMR METER Phone Number: 763-5740134
Scheduled Date: 2013-10-07 Scheduled Time: 02:30:00
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-09-30
ACTION TAKEN:
Old meter#6741480 Old readin 24 10 New meter#44922349 New reading: 0 ERT#3515 71
Status: Completed Resident Contacted �
Date Completed: 2013-10-07 Compteted by: Pete Gunderson
Hours
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Request Number: 7078
Public Works Division
Service Request
_ _ _ ___ __ _
_ _ _ _ __ _ __
Problem Address: 6558 Oakley Dr. NE Requested By: Susan Lawlor/Mike Flan
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER(WATER) Phone Number: 763-5740134
Scheduled Date: 2013-10-07 Scheduled Time: 02:30:00 -
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-09-30
ACTION TAKEN:
_.........................................................................................................................................................................................................................................................................................................................................................................................._..............................
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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_ City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridiey and/or i#s
employees to do what is necessary to replace the water meteii inter�ior plumbing.�(PerrCity aeWner
is liable for the water line from the main to the premise and a
402.06) I also hold the City of Fridley and/its empioyees harmless far anyln�m��flo�o ���
while doing this operation. This to inc�da a�l�so requi ed toQobtain a�perm tr prior to any work,if
stop box and service line. I understan
necessary. � �� ��
Final meter reading(old meter) ��
Name• A�dress: ,
• Date: ��—�
Phone Number•
Signature�
Witness Signature:
FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WA7ER,AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,115b,1191) _
� 402.05. PERMIT FEE
Prior to constructing oc repair of any water or sewer line connecting th ha11 be equ redto bt n a permit for such
or building for which the application is mad ov ded n Chapter 11 of this Code. After such connection has been
connection,and shalt pay a permit fee as p
made,the Water and Sewer Department shall be d the work ncident the etol has been app oved by h4e City as an
inspection has been made and such connection an .
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop ne forrcAnne t on'the appl'icant owner,
{ine or a water service or sewer lead has been extended to the properly�wred to any water line and sewer lines
or the occupant or user nf such premises shall be liable for all repairs req ' oWner re uests
necessary for connection of the premises from the main to the premis o��ner shall be harged for he costs of the
maintenance service or repairs be perfarmed by the City,the property
maintenance and/or repairs, including any necessa o�e ft occupant or user to perfo m standard maintenaince of
policy. It shall be the responsibitisty of the applicant, .
• the sewer serv�ce line from the premises to the main incie d�n ad wlll ensure hat t ema ns abo e the fl�shed he
water service curb stop box for operability and at such h g
grade of the land or property. (Ref 638,1156,1191)
F��quest far S�rvit;e R+�p�ort
City c�f Fridl�y
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