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Request Number: 6671
Public Works Division
Service Request
Problem A�ddress: 1001 Rice Creek Terrace Requested By: Craig W iMcen
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-222-6283
Scheduled Date: 2013-08-12 Scheduled Time: 08:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&09
ACTION TAKEN: �
Old meter#32630873 Old reading ��I 0 New�r#Same ERT#35191643
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&12 Completed by: Pefie Gunderson
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Signed
Request Number: 6671
Public Works Division
Service Request
Problem Address: 1001 Rice Creek Terrace Requested By: Craig W ilken
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-222-6283
Scheduled Date: 2013-08-12 Scheduled Time: 08:00:00
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ACTfON IdEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Craig Wiiken, 763-222-6283, AMR @ 8:00 AM
Location: 1001 Rice Creek Terrace NE
Start: Mon 8/12/2013 8:00 AM
End: Mon 8l12l2013 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridiey and/or its
employees to do what is necessary to replace the water meter. t understand that the property owner
is liab{e far the water line from the main to the premise and all interior ptumbing. (Per C'ity cade
402.Ob� I also hold the City of Fridtey and/its emptoyees harmless for any damages that may occur
whi{e doing#his operation. This to include,but not Gmited ta;valves,piping,walis,floors or the curb
stap box and service line. {understand 1 am also required to ohtain a permit prior to any work,if
necessary. ��► r � ��
Final meter reading{old meter)
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Name� Address
l(�b� t���--�"E������`
Phone Number• Rat • ~` ��—
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Signature:
Witness Signature:
FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANC!SANtTARY SEWER
. ADM{NISTRATI�N
(Ref Ord No 113,464,565.565�629,638,652,922,988,1144, 1156,1191) _
4�2.05. PERMfT FfE
Prior ta constructing ar repair of any water ar sewer line connecting the existing municipal system and any house �
ar 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 shatt be notified. it shait be unfawful to cover any cannecting line until an
inspection has been made and such connection and the wark incident thereto has been approved 6y the City as a
propec and suitab{e connection.
402.06.REPAtRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at th�property
line or a water senrice or 5ewer lead has been extended to the property line for connection,the app4icant,owner,
or the occupant or user of such premises shail be liabfe for afl�epairs required to any water line and sewer lines
necessary far cannection af the premises fram the main to the premises. lf the property owner requests
maintenance service or repairs be perfarmed by the City,the property owaer shall be charged for the costs of the
maintenance and/or repairs, inctuding any necessary street�epairs,at a rate set annuatly by an administrative
po(icy. It shall l�e the responsibitity of the applicant,owner,occupant ar user to perform standard maintenance af
• the sewer service line from the premises to the main incfuding dehris ctearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wifl ensure that it rernains abo�e t6e ftnished
grade af the far�d or property. (Ref 638,1156,1191}