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Request Number: 6812
Public Works Division
Service Request
Problem Address: 850 Ou�erton Dr Requested By: MGke Norum
Department: WATER Address: fVo address provided
Problemllssue: INSTALL METER Phone Number: 763-571-7906
Scheduled Date: 2013-0&27 Scheduled Time: 01:00:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-23
ACTION TAKEN:� �I
Old meter#7732682 Old reading: 8012470 New meter#44921432 ERT#35159017
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Status: Cornp�ted Reaident Contacted ❑
Date Completed: 2013-0&27 Co�leted by: Pete Gunderson
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Request Number: 6812
Public Works Division
Service Request
Problem Address: 850 Overton Dr Requested By: Mike Norum
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-7906
Scheduled� D_ ate� 2013-08-27 � Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&23
ACTlON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Mike Norum, 763-571-7906, AMR @ 1:00 PM
Location: 850 Overton Dr NE
Start: Tue 8/27/2013 1:00 PM
End: Tue 8/27/2013 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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City of Fridley
Water Department
6431 University Avenue NE
Fridfey,MN 55432
(763)572-3566
1/we hereby authorize the City of�ridley and/or its
employees to do what is necessary to repiace 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) 1 also hoid the City of Fridfey and/its empioyees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �����
Name: Address: �� ���`.Z�
Phone Nu r•
Date• � �� `�
Signature. �
Wltness Sign ure:
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINtSTRATION
(Ref Ord No 123,464,565,566,629,638,662,922+988,1144, 1156,1191j
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer(ine connecting the existing municipat system and any house
or building for which the application is made,the owner or contractor shal!be required to obtain a permit for suth
connection,and shatl pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shali be unlawfu!to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitab�e connection.
402.06.REPAIRS AND MAINTENANCE TO CONNEC7'ION
After the initial connection has been rr�ade to the water senrice curb stop box or the sewer tead 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 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 maln to the premises. if the prope[ly owner requests
maintenance service or repairs be performed by the City,the property owner shal!be cha�ged 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 responsibiiity of the applicant,owner,accupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)