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-� a Request Number: 6865
Public Works Division
Service Request
Problem A�ddress: 998 O�nsrton Dr Requested By: Sheena Abraham
Department: WATER A�ddress: No address provided
Problemlissue: INSTALL METER Phone Number: 763-502-2303
Scheduled Date: 2013-09-03 Scheduled Time: 01:00:00
ACTiON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2,013-0&30
ACTION TAKEN: �
Old meter#14837617 Old reading:C�60 IVew meter#44921326 ERT#35159367
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Status: Completed Resident Contacted O
Date Completed: 2013-09-03 Completed by: Pete Gunderson
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Request Number: 6865
Public Works Division
Service Request
Problem Address: 998 O�e�ton Dr Requested By: Sheena Abraham
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-502-2303
Scheduled Date: 2013-09-03 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&30
ACTION TAKEN: '
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
Water Department
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5431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to reptace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may occur
while daing this operation. This to include,but not limited to;vatves,piping,walls,floors or the curb
stap box and service line. I understand i am also required to obtain a permit priar to any work,if
necessary. �
final meter reading(o!d meter) ��
Name:
Address; ��� ���''�'�
Date: �—�I� l
Phane Number: -
Signature: �
Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(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 tine connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalt be notified. �t shall be unlawful 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 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 praperty line for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie for all�epairs required to any water line and sewer(ines
- necessary for connection of the premises from the main to the premises, !f the property 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 repairs,at a rate set annually by an administrative
policy. It shall be the responsibility otthe applicant,awner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiA ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)