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Request Number: 6603
Public Works Division
Service Request
Problem Address: 6821 Oaldey St Requested By: Wayne BoseM
Department: WATER Address: No addre�ss provided
Problemllssue: INSTALL METER Phone Number: 571-7647
Scheduled Date: 2013-0&06 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Greated by: Wendy Hiatt Date Created: 2013-08-05
ACTION TAKEN: �
Old meter#6894278 Oki reading• 06 30 New meter#44248333 ERT#35191358
Status: Completed Residerrt Contacted ❑
Date Completed: 2013-08-06 Completed by: Keven BeckGn
Hours
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Request Number: 6603
Public Works Division
Service Request
Problem Address: 6821 Oakley St Requested By: Wayne Bosell
Department: WATER l�idress: No address provided
Problemllssue: 1NSTALL METER(WATER) Phone Number: 571-7647
Sched 013-08-06 A , Scheduled Time: 09:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&05
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
(7b3�572-35b6
��We hereby authorize the City of Fridiey and/or its
employees to do what is necessary to replace the water�neteii inte aor�ptumbing.t(PerCity aeWner
is tiable far the water line from the main to the premise and a
402.06) i also hoid the City of Fridley and/its emp�i��mti��o��alve�s�,pipi�g walls,floors or the curb
while doing this operation. This to include,but n
stop box and service line, i understand I am also required to obtain a permit prior to any work,if
necessary. � � � � � />
l/
F9nal meter readtng(ald meter)
Name: Address:
Phone Number:
Date• � —� � �
i r_ ... �/`f/G''(/l'
, Signature .
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Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER,AND SANITARY SEWER
ADMINiSTRATIClN
� (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,�156,1191) _
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting t shall be equ redto`bt n a perm'�t fo�r such
or building for which the appiication is made,the owner or cantractor
connection.and shall pay a permit fee as proil be not'f ed.tlt sha{{be u lawfut to cover any conne'cti g lin.eeuntil an
made,the iNater and Sewer Department sha
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitable cannection.
402.n6.REPAIRS AND MA{NTENANCE TO CONNECTION
After the initiai cannection has been made to the water service curb stop box or the sewer leta�d at t`can��wner,
Iine or a water service or sewer leadn Se b hall be liable fa�al{epap s equi ed to any water line and sewer lines
or the occupant or user af such prer remises. if the property owner requests
necessary for connection of the premises from the main to the Q e� owner shati be charged for the costs of the
maintenance service or repairs be perFormed by the City,the p p Y
maintenance andfor repairs, incfuding a�y necessary st�eet repairs,at a rate set annually by an administrative
policy. It shail be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main includ�n ad bii ensure hat t ema ns abo e the fin shed he
water service curb stop box for operability and at such heig
grade of the land or property. (Ref 638,1156,1191)