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Request Number: 8360
Public Works Division
Service Request
Problem Address: 6800 P;laza C'�ar� Requested By: Robert Gale
Department: WATER Address: No address provided
ProblemJLcsue: INSTALL E1MIZ METER Phone Number: 763-439-5447
Scheduted Date: 2014-07-18 Scheduled'Iime: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-07
ACTION TAI�N:
Old meter#33836237 Old reading:049 6Q New meter#44921118 ERT#35171849
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Status: Completed Resident Contacted 1"`
Date Completed: 2014-07-18 Completed by: Ryan Johnson
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Request Number: 8360
Public Works Division
Service Request
Problem Address: 6800 P;laza Curv�e Requested By: Robert Gale
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-439-5447
Scheduled Date: 2014-07-18 Scheduled Time: 02:00:00
�r,�c� �� � �-
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-07
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete by:
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- City of Fridley _
... _. Water Department .. _.. .
6431 University Avenue NE"
Fridley,MN 55432
(763)572-3566
IJwe hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the propertY owner
is liable for the water line from the rr�ain to the premise and aN inte�ioc plumbing. (Per City 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 inciude,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. i understand i am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �
Address� �-�tJ" �� ����
Name• �
Phone Number. Date• �/� �_.-
Signature:
Witness Signature:
FRIDLEY CITY CaDE
CHAPT 402.WATER,STORM WATER,AND SANITARY SEWER
' ADMINISTRATION
(Ref Ord No 113,46A�,SfiS,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 hous.e
or building for which the appticatian is made,the owner or contractor shall be required ta ohtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shall be unlawful to cover any connetting 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 wnnection.
402.06,REPAIRS AND MAINTENANCE TO CONNECTI�N
After the initial connection 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 e�ended to the property line for connection,the applicant,owner�
or the occupant or user of such premises shali be liable for ail�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. if the prope�ty owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
pulicy. It shall be the responsibility of the applicant,owner,occupant or user to perfarm standard maintenance of
• the sewer service line from the premises ta the main including deb�is ctearing 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)