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Request Number: 6567
Public Works Division
Service Reqt�est
Problem Address: 881 Rice Creek Terrace Requested By: Donna Brown
Department: WATER Address: No add�ess provided
Problemllssue: INSTALL ME'TER Phone Number: 571-2181
Scheduled Date: 2013-08-05 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-01
ACTION TAKEN:
Gld me�r#7607095 Old readin 365 20 New meter#44248332 New reading: 0 ERT#35191536
Status: Completed Resident Cor�tacted ❑
Date Completed: 2013-0&05 Completed by: Kev�en Becl�n
Hours
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Request Number: 6567
Public Works Division
Service Request
Prob{em Address: 881 Rice Creek Terrace Requested By: Donna Brown
Department: WATER Address: No address provided
Problemilssue: INSTALL METER{WATER) Phone Number: 571-2181
Scheduled Date: 2013-0&05 cheduled Time: 09:00:00 "
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-01
ACTION TAKEN:
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Status: In Progress Reside�t Contacted �J
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Date Completed: Completed by:
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City af Fridley
, , . Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
I/we hereby authorize the City of Fridtey and/ar its
employees to do what is necessary to repface the water meter. t understand that the properly owner
is liable for the water line from the main ta the premi5e and all interior plumbing. (Per City code
402.06) I a(so hald the City of Fridtey and/its employees harmtess for any damages that may occur
while doing this operation, This to include�but nat limited to;valves,piping,wa(Is,floors o�the curb
� stop box and service line. I understand I arn also required to abtain a permit prior to any work,if
ne�essary.
Final meter ding(old meter) � � S �I ��
Name: ss:
Phone Number•
Date: � _S/ � .
ignatur •
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. Witness Signature: .
FRIDCEY CtTY CODE
CHAPTER 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629, 638, 662,922,458,1144,1156,1191}
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and a�q house
or 6uilding for which the application is made,the owner or contractorshall be required ta obtain a permitfor such
senr�ee�ien,aFld shall�^�T�^Qrmi-�-- t fPP---at rovided in Chapter 11 of this Code. After such connection has heen
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cunne ing�in ��'
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connectian.
4Q2.06. REPAIRS AND MAINTENANCE TO CONNECTION
ARer the initial connection has been made to the water service curb stop hox or the sewer lead at the property '
line or a water service or sewer lead has been e�ttended to the property line for cannection,the applicant,owner,
or the occupant or user oPsuch premises shall be liable for all repairs required to any water line and sewer lines
necessary for cQnnection af the premises from the main to the premises: If the property owner requests
maintenance service or repairs 6e pe�formed 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 by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant ar user to perform standard maintenance of
the sewer service line from the premises ta the main including debris clearing or root cutting and to maintain the
water service curb stop box far operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156, 1191�