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� Request Number: 6000
Public Works Division
Service Request
Problem Address: 7528 Able St Requested By: Don Lubeck
Department: WATER Address: No address provided
Problem/lssue: tNSTALL METER Phone Number: 76�-441-5362
Scheduled Date: 2013-04-16 Scheduled Time: 09:00:00
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ACTION NEEDED: Change stopped meter 'j
Created b : Wend Hiatt Date Created: 2013-04-15
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ACTION TAKEN: �
Old meter#7732672 ad reading• 3408 0 New meter#44248282 New reading: 0 ERT#34277683
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Status: Comp�ted Resident Conta�ted O
Date Compieted: 2013-04-16 Completed by: Pete Gunderson
Hours
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Request Number: 6000
Public Works Division
Service Request
Problem Address: 7528 Able St Requested By: Don Lubeck
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-441-5362
Scheduled Date: 2013-0416 Scheduled Time: 09:00:00
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ACTION NEEDED: Change stopped meter
Created by: Wendy Hiatt Date Created: 2Q13-04-15
ACTION TAKEN:
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Status: In Progress Reside�t Contacted ❑
Date Completed: Comp by:
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- City of Fridley
Water Department
6431 U�iversity Avenue NE
Fridley,MN 55432
(763)572-3566 -
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line frocn the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to intlude,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit priar to any work,if
necessary. ���,r�
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Final meter reading(old meter�
Name: Address: /��� ��`'`�'
Phone Number
Date: �+ ��..�--
Signature:
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Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113;464,565,566,629,638,662,922,988, 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
ar 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 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shali be uniawful 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 connectian.
4a2.06.REPAlRS AND MAINTENANCE TO CONNECTION
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 shali be liable for ali 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 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,awne�,occupant or user to perforrn 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 638,1156,1191)