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Request Number: 6474
Public Works Division
Service Request
ProblemA�ddress: 6861 Washington St Requested By: Janine A�fiskiw
Department: WATER A�ddress: No address provided
Problemlissue: INSTALL METER Phone Number: 763-571-5109
Scheduled Date: 2013-07-24 Scheduled Time: 08:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-22
ACTION TAKEN:
Old meter#98578237 Old readin 115 50 New meter#44248441 New reading: 0 ERT#35191496
Status: Completed Resident Contacted ❑
Date Completed: 2013-07-24 Completed by: Pete Gunderson
Hours
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Request Number: 6474
Public Works Division
Service Request
ProblemAddress: 6861 Washington St Requested By: Janine Miskiw
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WAl'ER) Phone Number: 763-571-5109
Scheduled Date: 2013-07-24 C eScheduled Time: 08:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-22
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 �
�tWe hereby authorize the City of Fridiey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the p�operty owner
is lFable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridiey and/its emplayees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand!am alsa required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� � � '�' I Q
Name� Address• 1L�U�� w������
Phone Number. Date: �—���� J
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Signature: �
Witness Signat e: ����z !�
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�RIDLEY CITY CODE `
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATIdN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) ,
402A5. PERMIT FEE
Prior to constructing or repalr 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 contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 ot this Cade. After such,connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting Ilne 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 connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat 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 shail 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 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
po(icy. 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 wili ensure that it remains above the finished
grade of the land or property. (Ref 638,2156,1191}