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Request Number: 6643
Public Works Division
Service Request
Problem A�ddress: 6850�Idey St Requested By: Edward Jones
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-571-5464
Scheduled Date: 2013-0&16 Schedu�d Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN: ✓
Old meter#18154141 Oid reading 341 00 New meter#44921289 ERT#35191348
Status: Completed Resident Contacted O
Date Completed: 2013-0&16 Completed by: Pete Gunderson
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Request Number: 6643
Public 1Norks Division
Service Request
ProblemAddress: 6850 Oakley St Requested By: Edward Jones
Department: WATER Address: Nio address provided
Problemllssue: INSTALL METER Phone Number: 763-571-5464
Scheduled Date: 2013-OS-1 Scheduled Time: 02:00:00
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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 uf Fridtey
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)57z-3566
��W� hereby authorize the City of Fridley and/or its
employees to do what is necessary to reptace the water meter. t understand that the property awner
is liable for the water line from the main to the premise and aff interior plumbing. �Rer City code
402.06j I aiso hold the City af frid(ey and/its emplayees harmless for any damages that may occur
white doing this operation. This to include,hut not limited to;valves,piping,waits,floars ar the curb
stop box and service tine, f understand i am atso required ta ohtain a permit prior to any work,if
necessary. ' ��
�inal meter reading(old meter)_ 7
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Address: �� � ����
Name� .
+ Date: ���~l�1-�---
Phone t�umkser:
Signature•
Witness 5ignature:
FR{DLEY CITY C�DE
CHAP7ER d02.WATER,STORM WATER,AND SANiTARY SEWER
ADMiNISTfiAT{ON
{Ref Ord No 17.3,4fi4,565,566,629,b38,662,922,988,1144, 1156,1191)
4a2A5. PERMIT�EE
. Rrior to constructing or repair of any water or sewer line connecting the existing municipat system and aay hause
or building f4r which the application is made,the owner or contractar shal{6e 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 1hJater and Sewer Department shalf be natified. it sha{f be unlawful to cover any connecting llne until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
propec and suitable cannection.
402.Q6.REPAIRS AND MAIN7�NANCE TO CONNECTION .
After the initial cannection has been made to the water service curb stop box or the sewer lead at tfie property
line or a water service or sewer fead has been extended to the property line for connectian,the applicant,owner,
or the occupant ar user of such premises shall be liable for at!�epairs required to any water tine and sewer lines
necessary far connection of the premises fram the main ta the premises. If the praperty owner requests
maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs uf the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy by.an administrative
policy. tt shail be the responsibifity of the applicant,owner,occupant or user to perfosm standard maintenance af
• the sewer service line from the premises to th�main including dehris clearing or root cutting and to maintain the
water service curb stop bax for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)