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Request Number: 6642
Public Works Division
Service Request
Problem A�ddress: 851 Rice Creek Terrace Requested By: Nancy Sandberg
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 5742014
Scheduled Date: 2013-08-12 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTION TAKEN: � ✓
Old meter#33588697 Old readin�30 New meter#Same ER�#35191085
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Status: Completed Resident Contacted O
Date Completed: 2013-0&12 Completed by: Pete Gunderson
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Name /U�CJ� �YS��.�
Date
Old Meter Number � l3(J� . --
Old Meter Reading Q ��
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Replacement No. �J�JJ�( ���
Replacement Reading �
Replacement�Make ��
Remarks: J7��D 1��� —
Signed
Request Number: 6642
Public Works Division
Service Request
Problem Address: 851 Rice Creek Terrace Requested By: Nancy Sandberg
Department: WATER Address: No address provided
Problemlissue: INSTALL METER(WATER) Phone Number. 574-2014
Scheduled Date: 2013-08-12 Scheduled Time: 09:OO:OQ
� ACTION NEEDED: 2013 AMR � � ` `�
� � � '� � ` " ► �`".
Created by: � V1/endy Hiatt Date Created: 2013-0&08
ACTION TAKEN:
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Status: In Progress Residerrt Contacted ❑
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-35fi6
��We hereby a�sthorize the City of Fridtey and/ur its
employees to do what is necessary to reptace the r+vater meter. l understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing• (Per City code
402.Q6) l atso hotd the City af Frid(ey and/its employees harmless for any damages that may occur
while doing this operation. 7his ta include,but not limited ta;valves,piping,wal�s,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �� � ��
Final meter reading(oid meter� �
Name•
Address• � � -
Phone Num6er: Date:_ �����-�—z-------
Signature:
Witness Signature:
FRIDLEY CITY CC)DE
CHQPTER 402•WATER,STORM WA7ER�AND SANiTAR'Y SEWER
ADMINISTRATiC1N
(Ref Ord No 113,464,S65,566,629,638,652,922,9$8,1144. 1156,1191)
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402.05.PERM{T FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or buiiding for which the apptication is made,the owner or cantractar shall be required to obtain a permit for such
connection,and shal{pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shafi be unfawful to cover any connecting 4ine until an
inspection has been made and such cannection and the w�rk incident thereto has been approved bY the City as a
propec and suitable connection.
402.06.R�PAIRS AND MAiNTENANCE TO CONNECT{ON
After the initia{cannection has been made to the water service curb sCop box or the sewer lead at t i�ant owner,
(ine or a water senrice or sewer lead has been extended to the property iine for connection,the app'
or the occupant or user of such premises shall be liab{e for aN repairs required to any wate�(ine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service o�repairs be perfnrmed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any neces5ary street repairs,at a rate set annualty by an administrative
po(icy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premtses to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilf ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}