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Request Number: 8149
Pub{ic Works Division v�� �� �
_Service Request (�
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Problem Address: 260 Rice Creek BMd Requested By: Dan O'NeiN
Department: WATER A�ddress: No address provided
Problemltssue: INSTAI.LAMR METER Phone Number: 574-1998
Scheduled Date: 2014-Ofr23 Scheduled Time: 01:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Katt Date Created: 201406-19
ACTION TAKEN:
Old reading: 19360551 Old reading 4�30 New meter#44921052 ERT#35171923
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Status: Completed Resident Contacted �
Date Completed: 201406-23 Completed by: Ryan Johnson
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Request Number: 8149
Public Works Division
Service Request
Problem Address: 260 Rice Creek Blvd Requested By: Dan O'Neill
Department: WATER Address: No address provided
Problemlissue: INSTALLAMR METER Phone Number: 5741998
Scheduled Date: 2014-06-23 Scheduled Time: 01:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-19
ACTION TAKEN:
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Status In Progress Resident Contacted CJ
Dafe Completed: Completed b :
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` � - City of Fridley
_ � �ater Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/u�its
employees to do what is necessary to replace the water meter. I understand that the properly owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
4Q2.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
whife doing this operation. This to include,but not limited to;vatves,piping,vvalls,floors or the curb
stop box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary. ��O
Final meter reading(otd meter) ` � � �
Name. Address• v"�� �C� � [�'��
Phone Number: Date: � � _ �
e
Signature•
Witness Signature:
FRIDLEY CiTY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,454,565, 566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair af any water or sewer line connecting the existing municipal system and any hous.e
or bui{ding for which the application is made,the owner or cantrador shall be required to obtain a permit for such
connection,and shatf pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shafl be notified. It shatl be uniawful to cover any connecting line 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 connection has been made to the water seniice curb stop box or the sewer lead at the properl;�t
line or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines ;
necessary for connection of the premises from the main to the premises. If the propetiy owner requests -�
maintenance service or repairs be performed by the City,the property owner shai{be charged for the costs of the
maintenance and/or repairs, inc{udfng any necessary street repairs,at a rate set annualty by an administrati� :��
poiicy. It shafl be the responsibility of the applicant,owner,occupant or user to perform 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 wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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