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Request Number: 6617
Public Works Division
Service Request
Prob�m Address: 821 Rice Creek Terrace Requested By: Harvey Keinhoiz
Department: WATER Address: No address provided
Problem/lssue: INSTALL METER Phone Number: 571-1140
Scheduled Date: 2013-0&08 Scheduled Time: 09:30:00
ACT{ON NEEDED: 2013 AMR
Created by: Wendy FGatt Date Created: 2013-08-06
ACTION TAKEN:
Old meter#94392205 OId reading• 124 20 New meter#44921300 ERT#35191442
Status: Completed Resident Contacted ❑
Date Completed: 2013-0&08 Cor�leted by: Keven Becldin
Hours
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Request Number: 6617
Put�ic Works Division
Service Request
Probiem Address: 821 Poce Creek terrace Requested By: Harvey Keinholz
Department: WATER A�ddress: No address provided
Problemllssue: INSTA�L METER(WATER) Phone Number: 571-1140
Schedukd Da . 013-08-08 Scheduled Time: 09:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-06
A►CTION TAKEN:
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Status: In Progress Resider�t Contacted `�..
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Date Completed: Completed by:"
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w • 1 - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3556
��We hereby authorize the City of�ridley and/ar i#s
employees to do what is necessary to repiace the water meter. 1 understand that tfie prop►ertlf owner
is liable for the water iine from the main to tfie premise and ali interiur plumbing. (Per City code
402.ObJ i aisa hold the Gty of Fridley and/its empfoyees harmless for any darr►ages that may occur
white doing this operation. This to include,but not limited ta;valves,piping,walls,floors or the curb
stop box and service line. i understand I am also required to o6tain a permit prior t�any work,if
necessary.
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Final meter reading(old meter)
Name• Addsess:
. � te• �� ^ �
Phone Number:
Signature:
.
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER�AND SANITARY SEWER :
ADMfNISTRATK�N �
(Ref Ord f�o 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Priar to constructing or repair of any water or sewes tine cunnecting the existing municipa�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 shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the VVater and Sewer Department shai{be notified. It shall be untawful to cover any connecting line until an
inspettion has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable 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 tfie property
4ine or a water service or 5ewer lead has been e�ended to the property line for connection,the applicant,awner,
ar the occupant or user af such premises shall be liable far ail repairs required to any water line and sewer lines
necessary for connection of the premises fram the main to the premises. if the property owner requests
maintenance service or repairs be perfarmed by the City,the property owner shall be charged far the costs of the
maintenance and/or repairs, sncluding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the
water service curb stop box for operabitity and at such height as wilt ensure that it remains above the finished
grade of the land or prope�ty. (Ref 638,1156,1191)