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Request Number: 6667
Public Works Division
Service Request
Problem puddress: 740 Rice Creek Terrace Requested By: Stephen Mondy
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALL METER Phone Number: 952-835-0845
Scheduled Date: 2013-08-13 � Scheduled Time: 11:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created; 2013-08-09
ACTION TAKEN: V
Old meter#15141239 Old reading:��New meter#44921033 ERT#35191430
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&13 Completed by: Pete Gunderson
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Request Number: 6667
Public Works Division
Service Request
Problem/�kfdress: 740 Rice Creek Terrace Requested 8y: Stephen Nbndy
Department: WATER Address: No address provided
Problemllssue: tNSTALL METER(WATER) Phone Number: 952-835-0845
Scheduled Date: 2013-08-13 � Scheduled Time: 11:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-OS-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Stephen Mondy, 952-835-0845, AMR @ 11:00 AM
Location: 740 Rice Creek Terrace
Start: Tue 8/13/2013 11:00 AM
End: Tue 8/13/2013 11:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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. City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)572-3566
��W� hereby authorize the City of�ridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable far the water line from the main to the premise and all intfor�an�damiage that may oc ur
402.06) 1 also hold the City of Fridley and/its employees harmless Y
while doing this operation. This to include,6ut not limited to;valves,piping,walis,floors or the curb
stop box and service 4ine. i understand t am also required to o6tain a permit prior to any work,if
necessary. �
Fina)meter reading(old meter) �
Name•
Address:______ir� � L�ZSC.`�^�`'
Phone Number• Date: ��(� --�---�--�
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Signature:
Witness Signa
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144, 1156,1191) _
40Z.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line conne��o Sn��benf equ,�edtolobt'n a perm'�t for such
or building for which the appi�cation is made,the owner or con
connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shalf be unlawful to cover any oved b' the City as an
inspection has been rnade and such cannection and the work incident thereto has been app Y
propec and suitable connection.
402.06.REPAIRS AND MA{NTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at t I cant owner,
line nr a water service or sewer lead has been extended to the property line for connection,the app'
or the occupant or user of such premises shail be liable for all�epairs required to any WatQ�ner reduests r��nes
necessary for connection of the premises from the main to the premises. If the property 4
maintenance service or repairs be performed by the C�e t�eraps,at a rate set a'nnua ly by an adm ni t at ve�he
maintenance and/or repai�s, including any necessary P
policy. It shall be the responsibility of the applican'n including deb is clea ing orpoot cutt'tng and to ma ntain thef
• the sewer service line from the premises to the ma
water service curb stop bax for operability and at such height as will ensure that it remains abo�e the finished
grade of the land or property. (Ref 638,1156,1191�