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Request Number: 6647
Public Works Division
Service Request
Probtem A�ddress: 731 Rice Creek Terrace Requested By: Ms Goodspeed
Department: WATER Add�ess: No address provided
Problem/Issue: INSTALL METER Phone Number: 571-4822
Scheduled Date: 2013-0&12 Scheduled Time: 10:�:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 201&08-08
ACTfON TAKEN: (�� V
Old meter#15429715 Old readin •.� 65�80 New meter#44921037 ERT#35191095
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&12 Completed by: Pete Gunderson
Hours
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Request Number: 6647
Public Works Division
Service Request
Problem A�ddress: 731 Rice Creek Terrace Requested By: AAs Goodspeed
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-4822
Scheduled Date: 2013-0&12 Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTION TAKEN: ' '
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Frrdley,MN 55432
(763)572-3556
I/we hereby authorize the City of Fridiey and/or its
employees to do what is necessary ta replace the water meter. 1 unde�stand that the property owner
is liable for the water line fram the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City af Fridley and/its empfoyees harmless far any damages that may occur
while doing this operation. This to include,but nat limited to;valves,piping,�n+alls,flaors or the curb
stop box and service line. f understand{am alsa required to obtain a permit prior to any work,if
necessary. � �
r readin ald meterj �'"� � �
Ftnal mete E{
Name•
Address:--����l ��il ��
Phone Number: Date: 7�" ���'�
Signature:
Witness Sigriature:
FRIaLEY CITY CODE �
CHAPTER 402.WATER,ST�RM WATER,AND SANtTARY SEWER
ADMINISTRATI4N
(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 sewer line connecting the existing municipal system and any house
nr building fa�which the application is made,the owner or cuntractor shafl 6e required to obtain a permit for such
connection,and shall pay a permit fiee as provided in Chapter 11 of this Code. After such connection has been
made,the 1tVater and Sewer Department shal{be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such cannect9on and the work incident thereto has been approved by the City as a
proper and suita6le cannectinn.
402.06.REPAIRS AND MAINTENANCE Tl7 CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the praperty
line or a water service or sewer lead has been extended to the property fine for connectian,the applicant,awner,
or the occupant or user of such premises shaU be fiable for al{repairs required to any water 4ir►e 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/ar repairs, ir�clUding any necessary street repairs,at a rate set annually by an administrathre
policy. it sha14 be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to Che main incfuding debris ctearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wi11 ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}
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