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Request Number: 6 3
Public Works Division
Service Request
Problem Address: 6840 Oaldey St Requested By: Mary Shipka
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 763-639-9969
Scheduled Date: 2013-09-06 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
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ACTION TAKEN: �
Old meter#11851317 Old reading:�51 50 New meter#44921319 ERT#35159401
Status: Completed Resident Contacted O
Date Completed: 2013-09-06 Completed by: Pete Gunderson
Hours
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Req uest N u m ber: 6639
Public Works Division
Service Request
Problem�Jdress: 6840 Qakley St Requested By: Mary Shipka
Department: WATER Address: No address provided
ProblerNissue: INSTALL METER(WATER) Phone Number: 763-639-9969
Scheduled Date: 2 13-09-06 Scheduled Time: 07:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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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 Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable far the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 afso hold the City of Fridfey andjits employees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walls,floors or the turb
�top box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)_
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Name•
Address: � (� "`�' ���
Phone Number. Date• ` ���—��
Signature•
Witness Signature.
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATEF�,ANO SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prior ta constructing or repair of any wafer or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shali be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shalt be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work inddent thereto has been approved by the City as a
proper and suitable cannection.
402.U6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stap box or the sewer lead at the propertY
19ne or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable far ail repairs required to any wate��nerre uests r�mes
necessary for connection of the premises frorn the main to the premises: If the property q
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualty bY an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to pe►'Form standard maintenance af
the sewer service line from the premises to thE main including deb�is dearing or root cutting and to maintain the
water service curb stop box for operabi�ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)