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Request Number: 6794
Public Works Division
Service Request
Problem Acidress: 75fl Ouerton Dr Requested By: Stepan Jamison
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 651-26a6268
Scheduled Date: 2013-08-23 Scheduled Time: 11:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-22
ACTION TAKEN:� `� �
Old meter#14268429 Old reading: 723500 New meter#44921445 ERT#35191087
Status: Completed Resident Contacted O
Date Completed: 2013-08-23 Corr�leted by: Pete Gund�son
Hours
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Request Number; 6794
Public Works Division
Service Request
Probiem Address: 750 Owe�ton Dr Requested By: Stepan Jamison
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 651-260-6268
Scheduled Date: 2013-08-23 Scheduled Time: 11:00:00
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AGTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-22
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compteted: Completed by:
�,a3 13
City of Fridley
Water Department
6431 University Avenue NE
fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridtey and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liabfe for the water line from the main to the premise and al!interior ptumbing. (Per City code
402.06) 1 also hold the Gty of Fridley andJits 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 iine. 1 understand i am atso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � v' � � �
Name• Address� �� d����
Phone Nu r• Date: v��J�`�
Signature:
Witness Signature: �
FRIDLEY CIT1f CODE
CHAPTER�402.WATER,ST�3RM WATER,AND SANITARY SEWER
AOMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1155,1191)
402.05.PERMIT FEE
Prior to constructing or repair af any water or sewer line connecting the existing municipal system and any hous.e
or buildis�g for which the application is made,the owner or contractor shail be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such conneetion has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting iine until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectifln.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer iead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the accupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be pe�formed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall 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 inc{uding debris clearing ar raot 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 638,1156,1191a