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Request Number: 6569
Public Works Division
Service Request
Problem A�ddress: 651 l�ice Creek Terrace Requssted By: Jamie Corrxr�erford
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-1143
Scheduled Date: 2013-0&02 Scheduled Time: 11:30:Q0
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 201&08-01
ACTION TAKEN:
Old meter#15499883 Old reading: 60 60 New meter#44248323 New reading: 0 ERT#35191557
Status: Com�ted ResideM Contacted 0
Date Compfeted: 2013-0&02 Completed by: Kev�en Becldin
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Request Number: 6569
Public Works Division ,
Service Request
Problem Address: 651 Rice Creek Terrace Requested By: Jamie Commerford
Department: WAlER Address: No address provided
Problemllssue: I�ISTALL METER(WATER) Phone Number: 571-1143
Scheduled Date: 2013-0&02 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-01
ACTION TAKEN:
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Status: In Progress Resident Contacted C�
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Date Completed: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
- Fridley,MN 55432
(763)572-3566
i/we hereby authorize�h 1 underst d'th t the p�pertlr owner
employees to do what is necessary to replace the water mete
is liable for the water line from the main to the p�emis 5 harmlesstfo rany dam'ages hat may occur
402.06) 1 aiso hold the City of Fridiey and/its emploYee
while doing this operation. This to include,but not limite too0��a n a,perm t/p or5to any v+►o kef �
stop box and service line. 1 understand 1 am also required
necessary.
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Final meter reading(old meter)
Name� Address
Phone Number•
Date: `� � /J
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Signatu • �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4�2.WATER,STORM WATER,A�ID SAMtTARY SEWER
ADMINISTRATIQN
(Ref�rd No 113,464,565,566,629,638,662,922,988,1:144, 1156,1191)
402.05. PERMIT FEE
Prior to const�ucting or repair of any water or sewer line connecting t sn��be�equ redto'obt in a permit for such
or building for which the application is made,the owner or contracto
connection,and shal)pay a permit fee as Phall be not fed.tlt shall be u lawful to cover any conne'cting�ineeuntii an
ma d e,t h e W a t e r a n d S e w e r D e p a r t m e n t ro v e d b y t h e C i t y as a
inspection has 6een made and such cannection and the wo�k incident t here to has b e e n a p p
propec and suitable connection.
402A6.REPAIRS AND MA{N7ENANCE TO CONNECTION
After the initial connection has been made to th�water service curb StiaP'ne forrcon�ec on'the at pl cant owner,
line or a water service or sewer lead has been extended to the property '
P
or the occupant or use�of such premises shali be liable for all repairs required ta any�►atQ�ner requests r'�nes
necessary for connection of the premises from the main to the premis o�oe shall be charged for the costs of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessary�Wne t D pupant or user to perfo�standa d maintenance af
poticy. It shall be the responsibility of the applicant,
• the sewer service line from the premises to th�main�n�e dn ad w tl en'sure hat it emains above the fi ished he
water service curb stop box for operability and at suc g
grade of the land or property. (Ref 638,1156,1191)