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Request Number: 8243
� Pubiic Warks Divisian
i . Service Request `
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Problem A�ddress; 252 69th Place Requested By: IGa Haynes
Department: WATER A�ddress: Nn address provided
Probfemt�sue: iNSTALLAMR METER Phone Number: 5742541
Scheduled Date: 20l4-07-03 Scheduted Time: 01:00:00 .
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ACTION NE,EDEQ:2014 AMR
i � Cr�ated by: Wandy Hatt Date Created: 2014-08-25
ACTWN TAKEN: .
Old mater#94282333 Old reading 280 50 New meter#44922060 ERT#35171608
� � Status: Complated Residerrt CcMacted ❑
� Date Completed: 201407-03 Completad by: Ryan Johnson
Hours
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Request Number: 8243
Public Works Division �
Service Reque.st
Problem Address: 252 69th Place Requested By: Ilia Haynes
Department: WATER Address: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: 574-2541
Scheduled Date: 201407-�3 Scheduled Time: 01:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wenciy Hiatt Date Created: 2014-06-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
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Date Completed: Co pletec�b :
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- - City of Fridley
__- Water Department - - -
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the C'rty of Fridley andior i�
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from th�main to the premise and aN interior plumbing. (Per C'ity 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 inctude,b�t not limited to;valves,p+ping,walls,floors or the curb
stop box and service line. 1 understa�d 1 am also required to obtain a permit prior to any work,if
necessary. w � ��
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Final meter reading(oid meter) � �
Ad�ress �"� �
Name• �� f �
' �s � �
Phone Number: Date: -
Signature::
Witness Signature:
FRIDL.EY CITY Ct�DE
CHppTE 402.WATER,STORM WATER,AND SANITARY SEWER
ADM1N15TRATION
(Ref Ord No 113,464,565,566,629,638,662,922,985,11.44,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the apptication is made,the owner or contrador shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter ii of this Code. After such connecrion has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such cannection 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 connection has been made to the water service curb stop box or the sewe�lead at the property
line ar a water service or sewer lead has been extended to the property Ilne 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 prop�tty owner requests
maintenance service or repairs be performed by the C'ity,the property owner shall be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. ft shafl be the responsibitity uf the applicant,owner,uccupant or user to perform standard maintenance of
• the sewer service line from the premises ta the main including 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)