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Request Number: 6459
Public Works Division
Senrice Request
ProblemA�ddress: 6815 Washington St Requested By: John Renkan
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 763-5749140
Scheduled Date: 2013-07-24 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Niatt Date Created: 2013-07-1
ACTION TAKEN:
Old meter#94806971 Old readin 258 70 New meter#44248440 New reading: 0 ERT#35191492
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Status: Completed Resident Contaated C]
Date Completed: 2013-07-24 Completed by: Pete Gunderson
Hours
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Request Number: 6459
Public Works Division
Service Request
Problem Address: 6815 Washington St Requested By: John Renkan
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-5749140
Schedu d ate: 20 -07- 4 � Scheduled Time: 09:00:00
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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 rogress 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 Fridley and/or i#s
employees to do what is necessary to reptace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per�ty code
402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and sentice line. I understand t am also required to obtaln a perrnit prior to any work,if
° necessary.
Final meter reading(old meter) �������
Name•
Address: � � �� ��5�k�•-. >1.{ —
Phone Number: Date• �` `^ � `'
Signature: �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,4fi4,565,56&,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair 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 cantractor 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 connectiort has been
made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIDN ,
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 connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for cannection 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 shall 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 af
• the sewer service line from the premises to the main inc�uding 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)