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Request Number: 7015
Public Works Division
Service Request
ProblemA�ddress: 6711 O�rerton Dr Requested By: Jea�&Eugene Sederstrom
Department: WATER A�ddress: No address provided
Problemllssue: INSTALI METER Phone Nurr�ber: 571-7522
Scheduled Date: 2013-09-23 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-20
ACTION TAKEN: !/
Old meter#9325317 qd reading: 81 30 New meter#44922340 ERT#35158993
Status: Completed Resident Contacted ❑
Date Completed: 2013-09-23 Completed by: Pete Gunderson
Hours
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Request Number: 7015
Public Works Division
Service Request
Problem Address: 6711 Ov�erton Dr Requested By: Jean& Eugene Sederstrom
Department: WATER �dress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-7522
Scheduled Date: 2013-09-23 Scheduled Time: 11:30:00
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' ACTION NEEDED: 2043 AMR
Created by: Wendy Hiatt Date Created: 2013-09-20
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Jean & Eugene Sederstrom 763-571-7522 AMR letter appt
Location: 6711 Overton Dr NE
Start: Mon 9/23/2043 11:30 AM
End: Mon 9/23/2013 12:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
1
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_ City of Fridley
Water Department
-- ___.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of�ridley and/or its
employees to do what is necessary to replace the water meter, t understand that the prope�ewner
is liable far the water line from the main to the p�o ees harmless fo rany damjages that r�i�ay occur
402.06J I also hold the City of Fridley and/its empl Y � i� �yalls,floors or the curb
while doing this operation. This to include,but not limited to;vaives,q'p g►
stop box and service line. i understand I am,also required to obtain a permit prior to any work,if
necessary.
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Final meter reading(old meter) . �� � '
Name� Address.
Q���
Phone Number: Date: �� � '�
Signature:
�tness Signature:
FRIDLEY CITY CODE
CHAPTER d02•WATER,STORM WA7ER,AND SAN{TARY SEWER
ADMINISTRA'f10N
(Ref Ord No 113,464,565,566,629,638,662,922,9g8,1144.1156,1191) _
+�� 402.05. PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house _
'Idin for which the app�i�t�on is made,the owner or contractor shall be requf suc h connection has been uch
orbw g
connection,and shall pay a permit fee as provided�n Chapter ii of this Cude. A e
made,the 1lVater and Sewer Department shall be notified. It shall be uniawfu�to cover any�oved by he 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 t i�n{OW er,
I)ne or a water service or 5ewer lead h e b ha�'��,a�fe for ail epap s�required to any water I ne and sewer lines
or the occupant or user of such premis owner re uests
necessary for connection of the premises from the main t�he p operty owne 5hall be charged fa�r he costs of the
maintenance service or repairs be performed by the City,
maintenance and/or repairs, including any necessary W eet oLpupant or ser to perfo m standa d maintena'nce af
policy. It shalf be the responsib9!'►ty of the applicant,o ,
• the sewer service line from the premises to the main incle d�n aa���ensure hat it ma ns abo e the fln shed�e
water service curb stop boxfor operahility and at such h g
grade of the land or property. (Ref 638,1156,1191)