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Request Number: 6992
Public Works Division
Service Request
Problem Address: 6542�kley Dr Requested By: Sheqy Hauck
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 5741125
Scheduled Date: 2013-09-18 Scheduled Time: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 201�09-17
- ACTION TAKEN: �
Okl meter#82140715 Old reading: 46 30 New meter#44922488 ERT#35159335
Status: Completed Residerrt Corrtacted �
Date Completed: 2013-09-18 Completed by: Pete Gunderson
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Request Number: 6992
Public Works Division
Service Request
Problem Address: 6542 Oakley Dr Requested By: Shelly Hauck
Department: WATER �kldress: No address provided
Probiem/Issue: INSTALL METER(WA1ER) Phone Number: 574-1125
Scheduled Dat : 201 -18 Schedufed Time: 01:00:00
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ACTION NEEDED:2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-17
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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City of Fridiey
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the City af Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the properly owner
is liable for the water line from the main to the premise and a11 interior pfumbing. (Per City code
402.06) 1 also hold the Gty of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(ol�meter)
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Name• Address• IC��J �� �Ql�l�• � -----
Phone Number• Date: � ����� —
Signature: 'v �L�
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 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
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or buiiding for which the application is made,the owner or contractor shall be required to obtain a permit fior such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION .
After the initiat connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the properry owner requests
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 annualiy by an administrative
policy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)