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Request u ber: 6873
Public Works Division
Service Request
Probtem Address: 6710 Quincy St Requested By: Mr Llndsay
Departrr�nt: WA1�R A�ddresa: No address provided
Problem►tssue: INSTALL METER Phone Number: 571-2773
Scheduled Date: 2013-09-03 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: V1/endy Hiatt Date Created: 2013-08-30
ACTION TAKEN: / / �
�d meter#96784245 Oid reading:1214700 New meter#44921399 ERT#35159378
Status: Completed Resident Contacted ❑ •
Date Completed: 201309-03 Completed by: Pete Gunderson
Hours
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Req uest N u m ber: 6873 •
Public Works Division
Service Request
Problem Address: 6710 Quincy St Requested By: Mr Lindsay
Department: WATER Address: No address provided
Probiemllssue: INSTALL METER(WATER) Phone Number: 571-2773
Scheduled Date: 2013-09-03 Scheduled Time: 11:30:00
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ACTION NEEDED: AMR �'DI ,
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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
6431 University Avenue NE
Fridley,MN 55432
(763)572-35b6
' ��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 to the premise and all interior plumbing. (Per City code
402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wal{s,�toors or the cucb
stop box and service line. i understand 1 am also required to o6tain a permit prior ta any work,if
necessary. `�
Finai meter reading(old meter)
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Name� Address:_ �E1��v (�'�'�
Phone Number: Date: � ��
Signature:
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Witness Signature: ,
FRIDLEY tITY'CODE
CHAPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1556,1191} _ -
402.05. PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or building for which the apptication is made,the owner or contractor shaH he required to abta9n a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the ilVater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
F�,` �. .. . .
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial cannection 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 shail be liable for all repairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the property owner requests
maintenance service ar 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 annuaily by an administrative
po(icy. It shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenance af
• 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 opera6ility and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638;1156,1191)