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Request Number: 6915
Public Works Division ���
Service Request
Problem A�ddress: 700 Ou�erton Dr Requested By: Stsphen Hengen
Department: WATER � A�ddresa: No address provided
Probfemllssue: INSTALL METER Phone Number: 572-9426
Scheduted Date: 2013-09-09 Scheduled 1ime: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-06
ACTION TAKEN: � J �
Old meter#95118491 Old reading: 572 90 New meter#44922462 ERT#35159784
Status: Completed Resident Contacted O
Date Completed: 2013-09-09 Completed by: Pete Gunderson
Hours
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Request Number: 6915
Public Works Division
Service Request
Problem Address: 7Q0 Overton Dr Requested By: Stephen Hengen
Department: WATER �Idress: No address provided
ProbleMlssue: INSTALL MElER(WATER) Phone Number: 572-9426
Scheduled Date• 2013- 9-09 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-06
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Compieted by:
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Hiatt, Wendy
Subject: Stephen Hengen, 763-572-9426, AMR @ 11:30 AM
Location: 70Q Overton Dr
Start: Mon 9/9/2013 11:30 AM
End: Mon 9/9/2013 12:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. 1 understand that the properly owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I aiso hold the City of Fridiey and/its employees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;vatves,piping,waNs,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. ���
F�nal meter reading(old meter) ����' .
Mame• Address• �`�'�-' �
Phone Number: te: �'�' `-1�_.._-_—
Signature: ' '� �
Witness Signature:
FRfDLEY ClTY CODE
CHAPTER 402.WATER,STURM WATER,I4ND SANtTARY SEWER
ADMINtSTRATION
' (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1291)
402.05. PERMIT FEE
" P�ior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appfication is made,the owner or contractor shall be required to obtain a permit for such
connectian,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 shallbe notified. It shall be un(awfui to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial 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 tine 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 prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
poticy. tt shali be the responsibiiity 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)