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Request Number: 6433
Public Works Division
Service Request
Problem Address: 6U0 Rice Creek Terrace Requested By: N6ck Johnson
Department: WA'IFR Address: No address provid�
Problemllssue: INSTALL M�TER Phone Number: 651-262-6468
Scheduled Date: 2013-07-19 Scheduled Time: 11:00:00
ACTION NEEDEQ: 2013 AMR Prgm
Created by: Wendyl-�att Date Created: 2013-07-17
ACTION TAKEN: y4�-�����
Old meter#18619921 Old readin .0623 70 New meter#4424�t67 New reading: 0 ERT#35172611
Statu�: Completed Resident Contacted ❑
Date Completed: 2013-07-19 Completed by: Kev�an Becldin
Hours
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Request Number: 6433
Public Works Division
$ervice Request
Probiem Address: 600 Rice Creek Terrace Requested By: Nick Johnson
Depa�tment: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 651-262-6468
Scheduled Date: 2013-07-19 Scheduled Time: 11:00:00
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ACTION NEERED: 2013 AMR Prgm
r
Created by: Wendy Hiatt Date Created: 2013-07-17
ACTION TAKEN:
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Status: In Progress Resident Contacted �
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Date Completed: ,_. l � � 3 Completed by: y�� ,
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i/we hereby authorize the City af Fridiey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City wde
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
, necessary.
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Final meter reading(old meter) � —
Name: Address:
Phone Number: D e•
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewe�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 shail 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 shail be unlawful to cover any connecting line until an
inspection has been made and such cannection and the wo�k incident thereto has been approved by the City as a
propec and suitab{e connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead 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 Ciry,the property owner shap be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsibility of the appiicant,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 senrice cur6 stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. �Ref 638,1156,1191)