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Request Number: 6460
Public Works Division
Service Request
Probfem A�ddress: 6727 Washington Ave Requested By: Dorothy Larson
Department: WATER A�ddress: No address provided
Problem(Issue: INSTALL METER Phone Number: 763-571-7427
Scheduled Date: 2013-07-25 Scheduled Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN:
Old meter#14408783 Old reading 25 10 New meter#44248425 New reading: 0 ERT#35191507
Status: Completsd Resident Contaated ❑
Date Completed: 2013-07-25 Completed by: Pe�Gunderson
Hours
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Request Number: 6460
Public Works Division
Service Request ,
Problem Address: 6727 Washington Av�e Requested By: Dorothy Larson
Department: WATER Address: No address provided .
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-7427
Scheduled Date: 2013-07-25 � Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR �
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Dorothy Larson, 763-571-7427, AMR @ 10:00 AM
Location: 6727 Washington St NE
g��; Thu 7/25/2013 10:00 AM
End: Thu 7/25/2013 10:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
_ City of Fridley
Water Department
6a31 University Avenue NE
-" - �ridley,MN 55432
(T63)572-3566
��We hereby authorize the City of Fridley and/or its o�ner
� emptoyees to do what is necessary to replace the water meter. I understand that t P p���e
is liabie for the water line from t he ma'in�t�p�P�i yees harmless fo rany dam,ages that may occur
402.06) 1 also hold the City of Fr�dley a / P � i� ���s,{�oors or tfie curb
while doing this operation. This to include,but not limited to;valves,p'p g►
stop box and service line. t understand 1 am aiso required to obtain a permit prior ta any work,if
necessary. � �
readin old meter) �
Final meter g( ����
Address: �j �
Name: �
Phone Number•
' Date: �'"��'
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Signature:
Witness Signature:
FRIDLEY CITY C4DE
� CHAPTER 402.WATER,STORM WA7ER�ANO SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1155,1191)
402.05. PERMIT FEE
Prio�to constructing or repair of any water or sew�eW�nerorcont cto shall be equiredto'b afn a perm'rt for such
or building for which the app��cation is made,the
connec�ion,and shall pay a permit fee as p�a��e n t fed.tlt shall be unlawful to cover any canne'cting lineeuntil an
made,the Water and Sewer aepartment shall b roved by the City as a
inspection has been made and such connection and the wo�k incident thereto has been app
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTfON
After the initial cannection has been made to the water service�o es�0p'ne for conne t ont the app cant owner,
line or a water service or sewer lead has been extended to the p p rtY
or the occupant or user of such premises shall be liable for alt�epairs required to any Wat��ner reduests r lines
necessary for connection of the premises from the main ta the premis O�nfe shall be charged for he costs of the
maintenance service or repairs be performed by the City,the property �n administrative
maintenance and/or repairs, inciuding h�aneit���awnert o cupant or ser to perforr►'►standard maintenance af
palicy. It shall be the responsibitity of t pp
• the sewer service line from the premises to the main inhle d„ad w�I ensure hat t emains abo e the fin sh d e
water service curb stop box fos operabitity and at such g
grade of the land or property. (Ref 638,1156,1191)