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Request Number: 6353
Public Works Division
Service Request
Problem Address: 604 Rice Creek Terrace Requested By: Renee Johnson
Department: WATER Address: No address provided
Problem/lssue: INSTALL METER Phone Nu�er: 763-571-6828
Scheduled Date: 2013-07-10 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy FNatt Date Created: 2013-07-0
ACTION TAKEN:
� Old meter#14337479 Old reading 417 60 New meter#44248309 New reading: 0 ERT#34277701
Status: Completed Resident Contacted O
Date Completed: 2013-07-10 Completed by: Pep Perron
Hours
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Req uest N u m ber: 6353
Public Works Division
Service Request �
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Problem Address: 604 Rice Creek Terrace Requested By: Renee Johnson
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-571-6828
Scheduled Date: 2013-07-10 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-08
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ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Renee Johnson, 763-571-6828, AMR @ 11:30 AM
Location: 604 Rice Creek Terrace (work#763-780-0060, ext 175)
Start: Wed 7/10/2013 11:30 AM
End: Wed 7/10/2013 12:00 PM
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
���yQ hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water tine from the main to the premise and all interior plumbing. (Per City tode
402.06) I also hold the City of Fridiey andJits employees harmless for any damages that may occur
white doing this operation. This to include,but nat limited to;vaives,piping,wa11s,floors or the curb
stop box and service line. I understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� �� ��
Name�
Address: � �l ���
. pate. �lC�.` ��
Phane Number
` Signature:
Witness Signature:
FRIDI.EY CiTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE --
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buiiding 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 Code. After such connection has been
made,the Water and Sewer Department shalt be notified. It shall be unlawfui to 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
proper and suitable connection. �
402.Q6.REPAIRS AND MAINTENANCE TO CONNECTfON
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 hasbeen extended ta 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 shali be charged for the costs of the
maintenance and/or repairs, inctuding any necessary street repairs,at a rate 5et ant►ually by an administrative
poticy. It shall be the responsibility of the applicant,awner,occupant or user ta perform standard maintenance af
• the sewer service line from the premises to the main inciuding debris dearing or raot 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 of the land or property. (Ref 638,1156,1191)
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