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Request Number: 6655
Public Works Division
Service Request
Problem A�ddress: 928 R'ice Creek Terrace Requested By: Caryl Weaver
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 571-4237
Scheduled Date: 201308-12 Scheduled Time: 02:30:00
AC'f'tON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTION TAKEN: r/
Old meter#99833436 Old reading�113 20 New tr�elb���eune�RT#35172610
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Status: Completed Resident Contacted ❑
Date Completed: 2013-08-12 Completed by: Pete Gunderson
Hours
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Request Number: 6655
Public Works Division
Service Request
Problem A�ddress: 928 Rice Creek Terrace Requested By: Caryl Weav�er
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-4237
Scheduled Date: 2013-0&12 Scheduled Time: 02:30:00
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ACTION NEEDED: 2013 AMR
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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)572-3566
��We hereby authorize the City of�ridtey and(ar its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is tiable for the water line from the�ain to the premise and all interior plumhing. (Per City code
402.06) 1 also hold the Gty of Fridiey and/its employees harmless for any damages that may occur
while daing this aperation. This to inciude,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if �
necessary. ���
Final meter reading(old meterj, ` �� ,
Name:
Address: �U`C� ' `C�l�"_ _ `"� ���
Phone Number•
Date: �� ����� �
Signature: �+" .
Witness Signature:
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATICtN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing os repais of any water or sewer line connecting the existing municipal system and any house `
or building for which the application is made,the owner or contrador shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 ofthis Code. After such connection has been
made,the 1Nater and Sewer Department shall be notified. it shalt be unlawful to cover any connecting line until an
inspection has been 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 MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connectton,the applicant,awner,
or the occupant or user of such premises shall be fiable far ail�epairs required to any water line and sewer lines
necessary for connection flf the premises from the main to the premis Q��ne shall be harged for the cfl ts of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, incfuding 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 perforro standard maintenance of
- the sewer service line from the premises to the main including debris clearing�r root cutting and to maintain the
water service curb stop box for operabitity and at such height as wiA ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)