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Request Number: 6422
Public Works Division
Service Request
Problem Aoddress: 6810 Washington St Requested By: John Rusmacko
Department: WATER Address: IVo addres.s provided
Problemllssue: INSTi4LL METER Phone Number: 612-735-2731
Scheduled Date: 2013-07-18 Scheduled Time: 13:00:00
ACTION NEEDED: 2013 AMR Program �
Created by: Wendy Hiatt Date Created: 2013-07-16
ACTION TAKEN:
Old meter#93004052 Old readin . 1431 0 New met�#'38me bra�body:'New reading: 0 ERT#35172616
Status: Completed Resident Contacted O
Date Completed: 2013-07-18 Compteted by: Pe�Gunderson
Hours
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Request Number: 6422
Public Works Division
Service Request
Problem A�ddress: 6810 Washington St Requested By: John Rusmacko
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 612-735-2731
Scheduled Date: 2013-07-18 Scheduled Time: ?b�A�
`�'� � ' -
ACTION NEEDED: 2013 AMR Program
Created by: Wendy Hiatt Date Created: 2013-07-16
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
: � � �`� ��
; � • - City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
���e hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hoid the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;�aives,piping,walls,flaors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. � � ' � �-»,�,�
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J`.�
Final meter reading(otd meter)
Name: Address: �'��W ��5���� —
Phone Num
Date: ��-��.-�
Signatur : '�^"' �
Witness Signature: 6 ' Y�_�""'A
FRIDLEY CITY CODE
CHAPTER 402.WATER,STt?RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or buiiding 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 Cade. After such connection has been
made,the Water and Sewer Department shalt be notified. It shall 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 propetty
line or a water service or sewer lead has been extended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shall be liable for all 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 perfarmed by the City,the property owner shatl 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 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}