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Request Number: 6641
Public Works Division
Service Request
Problem Address: 880 Faice Creek Terrace Requested By: Doris W uertz
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-6969
Scheduled Date: 2013-08-12 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 201�08-08
ACTION TAKEN: �
Old meter#16848452 Old readin 600 20 New meter#44248366 ERT#35172612
Status: Completed Resident Contacted ❑
Date Completed: 2013-0&12 Completed by: Pebe Gunderson
Hours
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Request Number: 6641
Public Works Division
Service Request
Problem Address: 880 Rice Creek Terrace Requested By: Doris Wueriz
Department: WATER Address: No address provided
Probiem/Issue: INSTALL ME7ER(WATER) Phone Number: 571-6969
Scheduled Date: 2013-08-12 _ V Scheduled Time: Q7:00:00
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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 �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763�572-35fi6
���e hereby authorize the City of Fridley andjor its
employees to do what is necessary to replace the water meter. I undecstand that the property owner
is liable for the water line from the main ta the premise and atl interior plumbing. (Per City code
402.06) i also hold the City of Fridley andiits employees harmless for ar►y damages that may occur
whi{e doing this operation. This to include,but not limited to;valves,piping,waUs,floors or the curb
stop box and service line. 1 understand I am aiso required to obtain a permit priorto any wurk,if
necessary.
Fina(meter reading(old meterj_ ��� ���
Name: Address:
`��� '�Znc�C'R��L`T�t�
Phone Number: Date: ^ � (�
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Signature•
Witness Signature:_,. �"�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SAM7ARY SEWER
ADMINISTRATION
(Ref ard Na 113,4fi4,565,566,629,638,662,922,988, 1�144, 1156,1191)
402.05. PERMI7 FEE
Prior to constructing or repair of any water or sewer line connecting the extsting municipal system and any house
or buitding for which the application is made,the owner or cantractor shall he required to obtain a permit for such
connection,and shaU pay a permit fee as provided in Chapter 11 of this Code. After such connection has been`
made,the Water and Sewer Department shalf be notified. It shall be un{awful to cover any connecting line until an
inspection has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAlNTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shali be liabfe for ail repairs required to any water line and sewe�lines
necessary for cannection af 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 sha{{be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
palicy. lt shall�e the responsibility of the applicant,owner,occupant or user to perform standard mairtenance of
- the sewer service line fram the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for ope�ability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 635,1156,1191)