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� Request Number: 8229
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� Se�vice Request
Probtem A�ddress: 241 69th Ave. Requested By: Rpnald Carlson
� Departmerrt: WAIER Add�ess: No address provided
� Pro6lerNissue: INSTALLAMR METER Phone Number: 574954�4
Scheduled Qate: Z01407-02 Scheduled Time: 10:00:00
ACTlON NEEDED:2014 AMR
Created by: Wenciy Hiatt Data Cr�ted: 201406-24
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Old mater#17996788 Old reading 172 SO Naw me�r#44921110 ERT�#35171587
Status: Comptehed Resldent Contactsd O
Dste Compieted: 2014-07-02 Gompleted by: Ryan Johnson
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Request Number: 9859
Public Works Division
Service Request
Problem Address: 241 69th Ave Requested By: Ron Carlson
Department: WATER Address: No address provided
Problem/Issue: DISCOLORED WATER Phone Number: 574-9544
Scheduled Dat • 2015-03-13 Scheduled Time: 01:00:00
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ACTION NEEDED:Homeowner has had dirty water since water main break.Has tried to flush lines.
Created by: Wendy Hiatt Date Created: 2015-03-13
ACTION TAI�N:
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Status: In Progress Resident Contacted C`
Date Completed: Completed by: �
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Req uest N u m ber: 8229
Public Works Division
Service Request
Problem Address: 241 69th Av�e Requested By: Ronald Carlson
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 574-9544
Scheduled Date: 201 07- Scheduled Time: 10:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-24
ACTION TAI�EN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed y:
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- City of Fridley
. --- Water Department - - -
� 6431 University Avenue NE
, Fridley,MN 55432
(763)572-3566
��We hereby authori:e the City of Fridley andJor its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per C.ity c�de
402.06) i also hold the City of Fridiey andJits employees harmless for any damages that may occur
wfiile doing this operation. This ta include,but not limtted to;valves,piping,wails,floors or the curb
stop bax and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary. �� ��
Finai meter reading(old meter) � �
Address• �i 11 �t' � �'`�IUL
Name• • -
.Number: Date• ���� ��`
Phone
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SAtNITARY SEWER
ADMINISTRATION
(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
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department sha{f be notified. It sha{I be unlavufu4 ta cover any connecting 11ne 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 connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectian 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 af such premises shall be liable for all repairs required to any water line and sewer tines
necessary for connection of the premises from the main to the premises. If the propecty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged forthe 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 of
• the sewer senrice line from the premises to the main inciuding 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)