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Request Number: 6883
Public Works Division
Service Request
Problem Auddress: 940 OVERTON DR NE Requested By: LAURIE ST LOUIS
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 573-360-5840
Scheduled Date: 2013-09-11 Scheduled Time: 09:00:00
ACTION NEEDED:AMR
Created by: Jean Michaets Date Created: 2013-09-03
ACTION TAKEN: / , (''�� /
Old meter#32194803 Old readin •.� 694�90 New meter#44921438 ERT#35159733
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Status: Completed Reaiderrt Contacted 0
Date Completed: 2013-09-11 Completed by: Pete Gunderson
Hours
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Req uest N u m ber: 6883
Public Works Division
Service Request
Problem Address: 940 OVERTON DR NE Requested By: IAURIE ST LOUIS
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER(WATER) Phone Number: 573-360-5840
Schedul ate: 2013-09-11 Scheduled Time: 09:00:00
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ACTION NEEDED: AMR
Created by: Jean Michaels Date Created: 2013-09-03
ACTION TAKEN:
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Status: In Progress Resident Contaoted ❑
Date Completed: Completed by:
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_ City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���e hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter, i understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City tode
402.06) i aiso hold the City of Fridiey and/its empfoyees harmless for any damages that may occur
while doing this operation. This to include,but not lirnited to;valves,piping.walis,floors or the curb
�top box and service line. 1 understand 1 am also required to obtain a permit prior ta any work,if
necessary. ��
Final meter reading(old meter) � �
Name:
Address: ~`�� �����
Date• _ 1~�`V 1
Phune Number: __
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) f
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line conne a�o shall 6en equ redtolabt'ein a permit for such
or building for which the application is made,the owner or con
cannection,and shall pay a permit fee as provided in Chapter ii of this Code. After such connection has been
made,the 1Natec and Sewer Department shall be notified. It shalt be unlawful to cover any oved by hie City as an
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE 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 line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epaimisesUlf he p operty owner requests r�ines
necessary for connection af the premises from the main to the pre
maintenance service or repairs be perfnrmed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy byan 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 th�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)