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Request Number: 7087
Public Works Division
Service Request
Problem A�ddress: 6723 Ou�arton Dr NE Requested By: Lee W iqca
Department: WATER A�ddress: No address provided
Problemlissue: INSTALLAMR METER Phone Nurriber: 763-210-8463
Scheduled Date: 2013-10-02 Scheduled Time: 08:30:00
ACTION NEEDED:
Created by: Jeannie Senson Date Created: 2013-10-01
ACTION TAKEN: v
Old meter#6741484 Old readin 70 New meter#44920798 ERT#135159070
Status: Completed Resident Contacted ❑
Date Completed: 2013-10-02 Corr�leted by: Pete Gunde�son
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Request Number: 7087
Public Works Division
Service Request
__ _ __ _ _ __
ProblemAddress: 6723 Ov�erton Dr NE Requested By: Lee Wilka
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER(WATER) Phone Number: 763-210-8463
Scheduled Date: 013-10-02 Scheduled Time: 08:30:00
�i I� z �, � 30 �N�
ACTION NEEDED:
Created by: Jeannie Benson Date Created: 2013-10-01
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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_ City of Fridley
Water Department
6431 University Avenue NE
�� Fridley,MN 55432
(763)572-3566
I/we hereby authorize the C'�ty of Fridiey and/or its o�ner
� employees to do what is necessary to replace the water meter. i understand that the property
is liable for the water line from the main to the premise and all inteo�an�damages that may occur
402.06) I also hold the City of Fridley and/its emplaYees harmless f Y
while doing this operation. This to include,but not limited toobta'n a�perm t,p orsto any work,if u�
stop box and service line. i understand 1 am aiso required to
necessary. - ��
Final meter reading�old meter) O
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Name�
Address:-`� �
Phone Number• Date: ��r��` t�
Signature:
Witness Signature:
FRIDLEY CITY CQDE
CHApTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) �r
40Z.05. PERMIT EEE -
Prior to constructing or repair of any water or sewer line oocont acto shall he equ redtolobt in a permit for such
or building for which the application is made,the owner
connection,and shall pay a permit fee as Phall be notif'ed. it shall be unlawful to cover anyconne'cti g lineeuntil an
made,the Water and Sewer Department s roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitable cannectian.
402.Q6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb��P'ne forrconnection'the appl cant owner,
line or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shall be liable for ail repairs required to any WatQ�nerredu�er lines
necessary for connection of the premises from the main to the premise�s�ne shall be charged for he costs of the
maintenance service or repairs be performed by the City,the property an administrative
maintenance and/or repairs, includof the anelicasntr aWner,o cupant or user to perform standard maintenance of
policy. It shall be the responsibiliry PP
• the sewer service line from the premises to the main inhe dn aa w II en ure hat t r ma ns abo e the finished e
water service curb stop box for operability and at such g
grade of the land or property. (Ref 638,1156,1191�