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� Request Number: 6292
Public Works Division . -
Sen�lce Request � � :
• Problem Adclress: 5651�ce Grsek Terrace . Requestec{By. Dl�de H�s -
Department: WATER A�idrQss: 1�addreas proMded ' .
P�ablemllssue: [NS7ALL MfTER(WATER) Phons Number: 763-443-3839 � � .
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Scheduled Qate: 2013-06-28 Scheduled'Time: 07:OQ:00 � � •
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� AC710N NEEQEa:AMR 2013 AMR Program •
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1 Created : We Matt Dat�created: 2013-�-25 .
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. Status: In Progress Residerrt Contactsd ��
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Request Number: 6292
Public Works Division
Service Request
Problem Address: 565 Rice Creek Terrace Requested By: Dibe Helps
Department: WATER Address: No address provided
Probkm/Issue: INSTALL METER(WATER) Phone Number: 763-443-3839
Scheduled Date: 2013-06-28 Scheduled Time: 07:00:00
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ACTION NEEDED:AMR-2013 AMR Program
Created by: Wendy Hiatt Date Created: 2013-06-25
ACTION TAKEN: '
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Status: In Progress Resident Contacted ❑
Date Completed: Compieted by:
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Hiatt, Wendy
Subject: Dixie Helps 763-443-3839
Location: 565 Rice Creek Terrace
Start: Fri 6/28/2013 7:00 AM
End: Fri 6/28/2013 7:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
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- City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or i#s
empioyees to do what is necessary to replace the water meter. t 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 also hold the City of Fridley and/its employees harmless for any damages that may occur
white doing this operafion. Thls to include,hut not limited to;vafves,piping,wa11s,ftaors or the curb
stop box and service line. i understand 1 am also required to obtain a permit prior to any work,if
necessary. ! ��
Final meter reading(oid meter)
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Name: Address:
v�5�Z�c� C.Qc-� �
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Phone Number•
Signature:
Witness Signature:
FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,98$, 1144,1156,1191)
40Z.05. PERMIT FEE . '
Prior to constructing or repair of any wates ar sewer tine connectingthe existing municipai 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
con�ection,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Department shait be notified. It shall be unlawfut to cover any connecting line untii an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer fead 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 shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from 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, inciuding any necessary street repairs,at a rate set annually by an administrative
paticy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service cur6 stop box for operability and at such height as wi11 ensure that 9t remains above the finished
grade of the land or property. (Ref 638,1156,1191)