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Request Number: 6451
Public Works Division
Senrice Request
Problem A�ddress: 6805 Washington St Requested By: Damaso Gonzalez
Department: 1A/ATER A�ddreas: No address provided
Problemlissue: INSTALL METER Phone Number: 763-757-6309
3cheduled Date: 2013-07-23 Scheduled Time: 08:30:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN: �
Old meter#97132690 Old readin • 701 60 New meter#44248338 New reading: 0 ERT#35172585
Status: Cornpleted Resident Contacted O �
Date Completed: 2013-07-23 Completed by: Pete Gundersa�
Hours
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Request Number: 6451
Public Works-flivision
Service Request
Problem�0.ddress: 6805 Washington St Requested By: . Damaso Gonzalez
Departme.�t: WATER Address: No address provided
Probiemlissue: INSTALL METER(WATER) Phone Number. 763-757-6309
Scheduled Date: 2013-07-23 � Scheduled Time: - 08:30:00
.
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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- City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432 .
(763)572-3566
I/we hereby authurize the City of Fridley and/or its
emptoyees to do what is necessary to replace the water meter. 1 understand that the property ewner
is liable for the water line firom the main to the premise and afl interior plumbing. (Per City code
402.06y I aiso hoid the City of Fridiey and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not timited to;vafves,piping,watls,floors or the curb .
stop box and service line. i understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� '-�-"'r
Name• Address: �'��� �"�`�����
Phone Number: Date: � '�����.�----
Signature•
Wltness Signature:
FRIDLEY CITI(CODE
CHAPTER 402.WATER,570RM WAl'ER,AND SANITARY SEWER
ADMINISTRATi�N
(Ref Ord No 113,464,565,566,629,638,652,922,988, 1144,1156,1191)
402.05. PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
ar bui{ding for which the applicatian is made,the ownec or cantrador shall be required to obtain a permit for such
connectian,and shait pay a permit fee as provided in Chapter 11 of this Code. After such connectian has been
made,the Water and Sewer Department shall be notified. It shail be unlawfui to cover any connecting line untit an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECT{ON
After the initial connection has been rnade to the water service curb stop box or the sewer lead at the prope�ty
line or a water service or sewer fead has been extended to the praperty line for connectton,Che applicant,owner,
or the occupant ar user of such premises shall be liable for ail repairs required to any water line and sewer lines
necessary for connection of 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 shail be�charged for the costs of the
maintenance andjor repairs, including any necessary street repairs,at a rate set annua{{y by an administrative
palicy. ft shali be the responsibiiity of the applicant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilt ensure that it remains above the finished
grade af the land or properCy. (Ref 638,1156,1191}