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equest Number: 7124
Public Works Division
Service Req�st
ProblemA�ddress: 6874 Washington St Requested By: Maria Lindroos-Riebe
Department: WATER Address: No address provided
Problemlissue: INSTALL METER Phone Number: 651-491-9926
Scheduled Date: 2013-10-18 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy F�att Date Created: 2013-10-10
ACTION TAKEN:
Old meter#Ki6998242 Old readin . 3141 0 New meter#44922347 ERT#35159339
Status: Corr�leted Restdent Contacted ❑ �
Date Completed: 2013-10-18 Completed by: Pete Gunderson
Hours
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Request Number: 7124
Public Works Division
Service Request
Problem Address: 6874 Washington St Requested By: Maria Lindroos-Riebe
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 651-491-9926
Scheduled Date: 2013-10-18 � Scheduled Time: 11:30:00
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ACTiON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-10-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Maria Lindroos-Riebe 651-491-9926 AMR install for non responder list
Location: 6874 Washington ST NE
Start: Fri 10/18/2013 11:30 AM
End: Fri 10/18/2013 12:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
New owners as of 10j17j13.
1
. City of F�idley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/ar its O��r
� employees to do what is necessary to replace the water meter. I understand that thP pCipe�e
is liable for the water line from the main to the premise and a�less for any dam'ages that may occur
402.06) 1 also hold the Gty of Fridley andJits employees harsn
while doing this operation. This to include,but not limited to;vafves,piping►�+►alts,ftoors or the curb
sto box and service line. 1 understand I am also requir�ed to obtain a permit priar ta any work,if
P
necessary.
. �� � �
�nal meter reading(oid meter)
Address• �U� ` � �� , .�
Name• �
. Date: �t �w'�"" (�
Phone Number
Slgnature:
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 4�2•WA'�R►STORM WATER,AN�SANITARY SEINER
ADMINISTRATION
(Ref Ord No 113,464,565,566�629,638,662,922,488,1144,1156,1191) - - --
4Q2.05.PERMIT FEE
Prior to consCructing os repair of any water or sewer line connecting the existing municipal system and any house .
or building for which the appticatian is made,the owner or contractor shail be required to obtain a permit for such
connection,and shafl pay a permit fee as P�a��be na if'ed.tlt shail behu lawfu�ta cover any con e�cti g lineeuntif an
made,the Water and Sewer Department shall roved by the City as a
inspection has been made and such connection and the wo�k incident thereto has been app
proper and suitable connedion.
402.D6.REPAIRS AND MAINTENANCE TO CONNECTION
Aftec the initial connection has been made to the water se he ro esrtyline forrconnecCion'the appl cant owner,
{ine or a wate�service Q�sewe�lead has been eutended to P P
ar the occupant or user of such premises shall be liable for all repairs required to any watD�ner requests r��nes
necessary for connection of the premises fram the main to the premise�s�nfe shall be charged for the costs of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, incl�ding any necessary s��e`t occu rant or user to perFo m standa d maintenance of
policy. It shail be the responsibility of the applicant,own , p
• the sewer service line from the premises to th�main incle d�n ad w ll ensure hat t ma ns abo e the fi ished he
water service curb stop box for operabiiity and at such h g
grade of the land or property. (Ref 638,1156,1191�