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; Request Number: 8231
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� Public Works Diviston
} Service Requ�st �
Problem Address: 436 Rice Creek Bturl Requested By: bea�Eberhard
; Deqarkmerrt: WATER Address: No address provided
Probiemltssue: INSTALLAMR ME1ER Phane Number: 571-8307
Scheduled Date: 201407-02 Scheduled Tlme: 10:30:00
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� ACTION NEED�D:2014 AMR
;
,
Created by: Wendy Hiatt Data Creatad: 201406-24
ACTION TAKEN: �
' �d meter#20004171 Old reading 65 80 I�w met�#44921114 ERT#35171648
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. Status: Completed Resident Gontacted ❑
pate Completed: 201407-Q2 Campleted by; Ryan Jahnsai
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Request Number: 8231
Public Works Division
Service Request
" ' Problem Address: 436 Rice Creek Blvd Requested By: Dean Eberhard
' Department: WATER Address: No address provided
' Problem/Issue: INSTALLAMR METER Phone Number. 571-8307
Scheduled Da e: 2014- 7-02 �� eduled Time: 10:30:00
�
ACTION NEEDED: 2014 AMR
,Created by: Wendy Hiatt Date Created: 2014-06-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed y:
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- City of Fridley
- --� Water Department . _.._ .
6431 Uni�ersity Avenue NE - -
Fridley,MN 55432
(7&3)572-3566
�/We hereby authorize the C'ity of Fridley and/or 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 piumbing. (Per Gty code
402.06) t a(so hold the City of�ridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
stop box and service line. 1 understand 1 am also required tu obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� ��v
Name• Address• l ��' �f'e' ��� ��"�' ,
' �"���— f, r
Phooe Number: Date• �`�r
Signature• �� �
Witness Signature: �
FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4G4,565,566,629,638,662,922,988,1144, 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 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 shall be unlawful to cover any connecting Iine until an
inspection has been made and such connection and the work incident the�eto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNEC't'ION
After the initial connection has been made to the water service curb stop box or the sewe�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 shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propg[ty 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�ecessary street repairs,at a rate set annuaily by an administrative
policy. It shali be the responsibiiity of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line frvm the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for aperability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)