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Request Number: 6683
Public Works Division
Service Request
Problem Address: 750 Rice Creek Terrace Requested By: Anne Kusie
Department: WATER Address: No address provided
Problemllssue: 1NSTALL METER Phone Number: 763-502-2181
Scheduled Date: 2013-08-19 Scheduled Time: 08:30:00
AC710N NEEDED: 2013 AMR
Created by: Wendy Hiatt � Date Created: 2013-0&12
AC710N TAKEN: � �
Old meter#94971289 Old reading: 1695280 New meter#44921303 ERT#35191308
Status: Completed Resident Contacted ❑
Date Completed: 2013-08-19 Completed by: Pete Gunderson
Hours
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Request Number: 6683
Public Works Division
Service Request
Problem Address: 750 Rice Creek Terrace Requested By: Anne Kusie
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-502-2181
Scheduled D te: 2013- -19 �,e Scheduled Time: 08:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-12
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
_. __ Fridley,MN 55432
(T63)572-3566
I/we hereby authorize the City of Fridiey and/ar its
employees to du what is necessary to replace the water meter. I understand that the property owner
is liable far#he water line from the main to the premise and all inter+or plumbing. (Per City code
402.06) i also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,hut not timited to;valves,piping,walls,flaors ar the curb
stop box and service line. 1 understand 1 am also required to abtain a permit prior to any work,if �
necessary. � � � —
Final meter reading(old meter) � �
�' ��/ ,Cjl Address: � �-� �° l�-1.�� �ff�-
Name� �_.t.���._
, �Q� �Z � Z�Date: � ��'�'—l3
Phone Number•
Signature:
Witness Signature:
FRIDLEY CITY CQDE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,63$,662,922,988,T144,1156,1191)
402.05. PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house '
or building for which the applicatian is made,the owner or contractor shall 6e 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 1Nater and Sewer Department shail be notified. It shalt be unlawfuf to cover anyconnecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
propec end suita6le connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop bax or the sewer lead at t i can��W er,
line or a water service or sewer lead has been extended to the property line for connection,the app'
or the occupant or user of such premises shall be liabie far all�epairs required to any water line and sewer lines
necessary for connection of the premi5es fram the main to the premi5es. If the property awner requests
maintenance service o�repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually byan administrative
poticy. It shall be the responsibility of the applicant,nwner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including dehris clearing or root cutting and to maintain the
water service curb stop box for operabiiity and at such height as will ensure that it remains above the finished
grade of tFre land or property. (Ref 638,1156,1191)
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