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P�oWemAddress: 581 Rice Creek Te�race Requs�ted By: JanetArreq&Thomas Thompsan . �
� DeRartm�rrt: WATER address: No address Provid�d •,
' P�oblemllssue: INSTALL METER(WATEF� Phone Mu�er: 763-571-9179 .
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' Schedufed Dat • 2013-0@-28 Schedulod 7ime: a8:30:�
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� ACTION NEEOED:2013AAAR.Program � •
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Created by: Wendy Matt Date Created: 2Q13-Q8-27
: AGTION 7AKEN: �
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Status: In Progres�s � Resident Contacted 17
: Date Completed: Compieted by: '
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Request Number: 6317
Public Works Division
Service Request
Problem Address: 581 Rice Creek Terrace Requested By: JanetArrell&Thomas Thompson
Department: WATER Address: No address provided
Problemllssue: INSTA�L METER(WATER) Phone Number. 763-571-9179
Scheduled Dat • 2013-06-28 Scheduled Time: 08:30:00
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ACTION NEEDED: 2013 AMR Program '
Created by: Wendy Hiatt Date Created: 2013-06-27
ACTIfi3N TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
Water Department
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6431 University Avenue NE �
Fridley,MN 5543?
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line fromthe main to the premise and ali interior p{umbing. (Per City wde
402.06) I also hold the City of Fridley andJits employees harmtess for any dannages that may occur
white doing this operation. This to include,but not limited to;valves.piping►uv�al�s.floors or the curb
stop box and ser�ice line. I understand t am also required to obtain a permit prior to any work,if
necessary. �J'tJ� �" ��
Final meter reading(old meter)
Name�
Address:_�_!!� ���E����—
Phone Number. Date: `� � '�
Signatu .
Witness Sign ure:
FRIDLEY CITY CUDE
CHAPTER 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 constructing or repair of any water vr 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 shalt pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shali be unlawful to cover any connecting Une until an
inspection has been made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property
Iine or a water service or sewer lead has been extended to the property line far connection,the applicant,owner,
or the occupant or user of such premises shail be liable far 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, including any neces5ary street repairs,at a rate set annually by an administrative
poticy. It sha{I be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• 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 operability and at such height as will ensure that it remains above the finished
grade ofthe land or properry. (Ref 638,1156,1191}
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Hiatt, Wendy
Subject: Janet Arrell, Thomas Thompson, 763-571-9179, AMR @ 8:30 AM
Location: 581 Rice Creek Terrace
Start: Fri 6/28/2013 8:30 AM
End: Fri 6/28/2013 9:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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