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Request Number: 6791
Public Works Division
Service Request
Problem A�ddress: 851 O�erton Dr Requested By: Stewen BYake
Department: WATER A�ddress: No address provided
Problem(Issue: INSTALI.AAETER Phone Number: 571-0495
Scheduled Date: 2013-08-26 Schedufed Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Miatt Date Created: 2013-08-22
ACTION TAKEN: `� 'j
Old meter#15429730 Old reading: 356610 New meter#44�9 ERT#35 1086
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&26 Completed by: Kory Jorgensen, Keven Becl�n
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? �Pubric Work� Division _
� Service Request . . � _
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.ProbtemA�ddress: 851 OuerEon Dr . Reqa�sted By: � Sb�n Bletce �
DepartmeM: WAIER Address: Na address provided
� ' . Problemlls�ue: iNSTALL M�TER(WA'lEI� . Phone Number 571-Q495
- Scheduled Date: 2013-08-28 Scheduted Time: 07:00:00
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ACT�OId NEEDED:2013AMR . •
Created by: Wendy Hlait � Date Great�l: • 2073-0&22
AC7'tON TAKEN: .
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Request Number: 6791
Public Works Division
Service Request
Problem Address: 851 Ou�erton Dr Requested By: Stevien Blake
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-0495
Scheduled Date: 2013-08-26 Scheduled Time: 07:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-22
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by: ,. �
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Hiatt, Wendy
Subject: Steven Blake, 763-571-0495, AMR @ 7:00 AM
Location: 851 Overton Dr
Start: Mon 8/26/2013 7:00 AM
End: Mon 8/26/2013 7:30 AM
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
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main ta the premise and all interior piumbing. (Per City code
402.06) I also hold the Gty of Fridley and/its employees harmiess 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 line. I understand i am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(oid meter) � �� �
Name: Addresr
f� �"'� J �
Phone Number: Date: , f)^�� �
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall 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 connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover any connecting line uMil an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead 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 main to the premises. If the prope�ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repai�s,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 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) Y�,,�r""''
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Request Number: 6791
Public Works Division
Service Request
Problem Address: 851 O�nerton Dr Requested By: Steven Blake t
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-0495
Scheduled Date: 2013-0&26 Scheduled Time: 07:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&22
ACT{ON TAKEN:
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Status: In Progress Resident Contacted �
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Date Completed: Compieted by: ,:..
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