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Request Number: 6397
Public Works Division
Service Request
Problem Address: 525 Rice Creek Te�race Requested By: Dave Green
Department: WATER Address: No address provided
ProblerWissue: INSTALL METER Phone Nur�er: 763-360-8906
Scheduled Date: 2013-07-12 Scheduled Time: 11:00:00
ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-12
ACTION�TAKEN•
Old meter#9 • 462 Old readin . 20 10 New meter#44248311 New reading: 0 ERT#35172619
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Status: Completed Resident Contacted ❑
Date Completed: 2013-07-12 Completed by: Pete Gunders�
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Request Number: 6397
Public Works Division
Service Request
Problem Address: 525 Rice Creek Terrace Requested By: Dave Green
Depa�tment: WATER Address: No address provided
Pro6lemllssu�: INSTALL METER(WATER) Phone Number: 763-360-8906
Scheduled D te: 2013-07 12 Scheduled Time: 11:00:00
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ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-12
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. ' - City of F�idley
` Water Department
_ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-35fi6
1/we hereby authorize the City of Fridley andf or its
employees ta do what is necessary to reptace the water meter. !understand that the propertY owner
is liable for the water line from the main to the premise and afl interiar plui�nbing. (Per City code
402.06� 1 aiso hold the City of Fridley andJits employees harmless far any damages thatmay occur
while daing tfiis operafion. This to include,but not timited to;vatves,piping,walls,floars or the curb
stop box and service line. 1 understand 1 am also required to abtain a permit prfor to any work,if
necessary.
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Final meter reading�old meter)_,
Name• Address• �c�� 'C'��`���`�
PhoneNumber: Date: � ���',�
Slgnature: v� .
Witness Signature:
FRIDLEY CITY C
CHAPTER 402.WATER,STORM WATER,AND 5ANITARY SEWER
ADMiN{STRATION
(Ref Ord No 113,464,565,566, 629,638,662,922,988, 1144,1156,1191)
402.d5. PERMiT FEE
Prior to constructing 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 contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this CAde. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shall be unfawfu{ta 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 suitabfe connedion. �
402.06.REPAtRS AND MAINTENANCE TO CONNECTION
After the iaitiat connection has 6een made to the water service curb stop box or the sewer lead at the property
line or a water senrice ar sewer lead has been extended to the property tine far connection,the applicant,owner,
or the occupant or user of such premises shall be liable far al{repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. 1f 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, irtctuding any necessary street repairs,at a rate set annualty by an administrative
policy. It shafl be the responsibi{ity of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris c{earing ar root cutting and to maintain the
water service cur6 stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. �Ref 638,1156,1191�