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Request Number: 6872
Public Works Division
Senrice Request
Problem Address: 6720 Quincy St Requested By: Ms Narog
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL MEIER Phone Number: 571-1596
Scheduled Date: 2013-09-03 Scheduled Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-30
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ACTION TAKEN:
Old meter#97132466 Old reading: 1060320 New meter#44921325 ERT#35159539
Status: Completsd Resident Contacted ❑
Date Completed: 2013-09-03 Completed by: Pe�Gunderson
Hours
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Request Number: 6872
Public Works Division
Service Request
Problem Address: 6720 Quincy St Requested By: Ms Narog
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-1596
Scheduled Date: 2013-09-03 Scheduled Time: 02:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&30
ACTION 7AKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete y:
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- City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
I/we hereby authorize the City of Fridiey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the properh►ownes
is liable for the water line from the main to the premise and all interior ptumbing. (Per City tode
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,6ut not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand 1 am alsa required to obtain a permitprior to any work,if
necessary.
Final meter reading(old meter) 4 —
Name: Address: � r�v v�' e' ,
Phone Number: Date: 1� ��1�
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Signature:
Witness Signature:
FRIaLEY CITY CODE
CHQPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.05. PERMIT FEE
Prior to const�ucting or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contrador shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been appraved by the City,as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the property
4ine or a water service or sewer lead has been extended to the property line for connectian,the applicant,owner,
or the occupant or user of such premises shall be liable far all repairs required to any water line and sewer lines
necessary for connection of the premises fram the main to the premises. If 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 shali be the responsibility of the applicant,owner,occupant or user to perform sfandard maintenar►ce 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)