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Request Number: 6568
Public Works Division
Service Request
ProblemA�ddress: 6875 Washington St Requested By: Chris Francis
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL ME'fER Phone Number: 651-796-8614
Scheduled Date: 2013-08-05 Scheduled Time: 07:00:00
AC710N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&
ACTION TAKEN:
Old meter#35510586 Old reading: 0165 30 I�few nte�#Same New reading: 0 ERT#35191511
Status: Completed Resident Corrtacted ❑
Date Completed: 2013-08-05 Completed by: Keven Becl�n
Hours
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�ervic� �8equ�st�d new meter Date 3/23/09 Ti�e 1:25 PM
Deparfiraient Public Works DivisiOn Wa`ter
Locairion of�ervice nesd 6875 Washington St NE
Owner or�gent of Property Chris Francis Phone: dH) 651-796-8614
�fame of Citizen Phone: (H)
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�ddress
Details of Request Utilitv billin� is �ettin� in�ccurate meter readinss not sure if ineter
is in backwards or what. Please install new meter. Appointment set for Tfi`�`=s"da�-,��
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Request Number: 6568
Public Works Division
Service Request
Problem Address: 6875 Washington St Requested By: Chris Francis
Department: WATER Address: No address provided
Problemilssue: INSTALL METER(WATER) Phone Number: 651-796-8614
Scheduled Date: 2013-08-05 Scheduled Time: 07:00:00
t
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&01
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by: _
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,. City of Fridley
� Water Department
6431 University Avenue NE
Fridley,MN 5543Z
(763j 572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. {understand that the property owner
is liable for the water line fram the main to the premise and all irtterior plumbing. (Per C1ty code
402.06) f also hold the City of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This ta include,but not(imited to;valves,piping,walls,floars or the curb
stop box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � � v ��—.� v
Name: Address:
.S�t 3
Phone Number•
� �ignature: `
. f Witness Signature:___�'� •
FRIDLEY CtTY CODE
. CHAPTE4t 4U2.WATER,STQRM WATER,AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord(Vo 113,464,565,556,629,638,652,9Z2,98$,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house
or 6uilding for which the application is made,the owner or contractor shall be requi�ed to obtain a permit for such
cor�FleE�{9�1�an�shafl�a,��gG��t fPP as nrovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any conne ing�in ��'
inspection has been made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable connection.
4�2.0&.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb 5top 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 shafl be tiable for af{repairs required to any water line and sewer lines
necessary for connection of the prernises from the main to the premises. lf the property owner requests
maintenance service or repairs be performed by the City,the property awner shall 6e charged for the costs of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annualty by an administrative
palicy. It shall be the responsibility of Che applicant,owner,o�cupant or user to perfo�m 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 witf ensure that it remains above the finished
grade ofthe land or property. (Ref 638,1156, 1191j