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Request Number: 8175
Public Works Division O3— �(.�
Service Request
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Problem Address: 412 Rice Creek BMd Requested By: Paul Gunderson
Department: WATER Address: No address provided
� Problemllssue: INSTALLAMR METER Phone Number: 571-4347
Scheduled Date: 201406-27 Scheduled Time: 10:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-23
ACTION TAKEN:�3
Old meter#18089�93'�d reading:427 80 New meter#44921897 ERT#35172024
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Status: Completed Resident Contacted ❑
Date Completed: 201406-27 Completed by: Ryan Johnson
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Request Number: 8175
Public Works Division
Service Request
Problem A�ddress: 412 Rice Creek BMd Requested By: Paul Gunderson
Department: WATER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-4347
Scheduled Date: 20 406-27 Scheduled Time: 10:00;00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-23
ACT{ON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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` - City of Fridley
_ _._ Water Department _... .
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees ta 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 City code
402.06) 1 alsa hotd the City of Fridtey and/its employees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stop box and ser�ice line. !understaad I am aisu required to obtain a permit prior to any work,if
necessary. � �
er �� � 6 �
Final meter reading(old met )
Name•
Address• � 1 �'�' �.— r�� �/` �U� ,
• `Number: Date� tD���✓l�t
Phone
/ SlgnatuRe: G�•�vi
Witness Signature•
FRIDL,EY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY 5EWER
ADMINI5TRATION
(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 application is made,the owner or contractor shaii 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 shalt be notified. It shall be un{awful to cover any connecting line ur►ti1 an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabte connection.
402.06.REPA{RS AND MA{NTENANCE TO CONNECTIt1N
After the initial connection has been made to the water service curb stap bux or the sewer lead at the property
{ine 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 shall be liable for all repairs required to any water line and sewer lines
necessary for connecti4n of the premises f�om the main to the premises. If the prope[iy owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually byan administrative
policy. It shall be the responsibility af the appiicant,owner,occupant nr 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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)