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Request Number: 7049
Public Works Division
Service Request
Problem A�ddress: 6550�kley Dr Requested By: Jean Chapman
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-381-2667
Scheduled Date: 2013-09-27 Scheduled Time: 07:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-25
ACTION TAKEN: �
Old meter#11562835 Old readin 2916 80 New meter#44922466 ERT#35172455
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Status: Co�leted Resident Contacted ❑
Date Comp�ted: 2013-09-27 Completed by: Pete Gunderson
Hours
09 l�-� '
Request Number: 7049
Public Works Division
Service Request
Probiem Address: 6550 Oakley Dr Requested By: Jean Chapman
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-381-2667
Scheduled Date: 2013-09-27 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-25
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
i/we hereby authorize the City of Fridley and/or its oWner
� employees to do what is necessary to replace the water meter. i understand that the properhl
is liable for the water line from the main to the premise and a��essfo rany damiages that ma yoc�ur
402.06) i also hoid the Gty of Fndley andJits emploYees harmi
while doing this operation. This to include,6ut not limite tt�oob�n a�rm�►priorsto any wo k if u� �
stop box and service line. 1 understand 1 am aiso requir�d
necessary. - �� j � /�
�� L•�y`Y
Final meter reading(old meter)
4J�'�-"
Address• `J• �
Name• �
Phone Number. Date: ` E�' '�1�
Signature:
Witness Si ature:
FRIDLEY CITY C�DE
tF��^�
CHAPTER 402•WATER,STORM WATER�AND SANtTARY 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 sewe�line connecti�o shall be equ redto b afn a permit fo�such
or building for which the application is made,the owner or contra
connection,and shall pay a permit fee as P�a��be not fed.tit shall be unlawful to cover a yc nne'cti g lineeuntil an
made,the Water and Sewer Department sh
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb�top box or the sewer lead at the property
Ilne or a water service or sewer lead has been extended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shall be liable for all repairs required to any wator�er reduests r��nes
necessary for connection of the premises from the main to the premise�s�ne shall be charged#or he costs of the
maintenance service or repairs be performed by the�ty,the property an administrative
maintenance and/or repairs, inc`ud'��nf the anplicantr owner,otcupant or ser to perfo m standard maintenance of
policy. It shall be the responsibil ty P
• the sewer service line from the premises to the m such he gh as will ensure hat t ema ns above the fin shed e
water service curh stop box for operahility and a �
grade of the(and or property. (Ref 638,1156,1191)
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