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Request Number: 7964
Public Works Division
Service Request
Problem A�ddress: 4815 2nd St Requested By: Carrie Dejarlais
Department: WATER A�ddress: No address provided
Problemllssue: LEAKING METER Phone Number: 571-0937
Schedul�d Date: 201406-03 Scheduled Time: 07:00:00
ACTION NEEDED: Ghange leaky metec
Created by: Wendy Hiatt Date Created: 201406-02
ACTION TAKEN:
Old meter#15323320 Old reading: 16 0 New meter#44922518 ERT#35160105
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Status: Completed Resldent Contacted ❑
Date Completed: 201406-03 Completed by: Pete Gunderson
Hours
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y
Request Number: 7964
Public Works Division
Service Request
Problem Address: 4815 2nd St Requested By: Carrie Dejarlais
Department: WATER Address: No address provided
Problemllssue: LEAKING METER Phone Number: 571-0937
Scheduled Dat_e-.�_ 201406-03 A� Sche uled Time: 07:00:00
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ACTION NEEDED: Change leaky meter.
Created by: Wendy Hiatt Date Created: 2014-06-02
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. City of F�idley
� ' Water Department
� 6431 University Avenue NE
�- Fridley,MN 55432
(763�572-3566 ,�,�;�.,
i/we hereby authorize the City of Fridley and/or its oWner
employees to do what is necessary to replace the water meter. I understand that Pep�ope��
is liable for the water line from the main to the p�'o�es harmless fo rany damages thatcm Y ouur
4 0 2.0 6) I a ls o h n l d t h e C i t y o f F r i d l e y a n d/�t s e m p Y
while doing this operation. Tfris to include,6ut not limited to;valves,piP��g►�I ls,fl o a r s o r t h e c u r b -
stop box and service line. I understand I am also required to obtain a permit prior ta any work►if
necessary. � �
Final rneter reading(old meter)
Address` G CJ'�_ ��57
Name• �
. Date:___.�_�-�
Phone Num6er:
Signature:
Witness Signature:
FRIDLEY CITY CQDE
CHAPTER 402.WA7ER,STORM WATER,AND SANITARY SEWER
ADMINIS't'RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,114�4,1156,1191)
40Z.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the e�sting municipai system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for suth
connection,and shall pay a permit fee as P�a��be not'fed.tit shall be u lawfui to cover any c nneicti g lineeuntil an
made,the 1Nater and Sewer Department sh roved by the City as a
inspection has 6een made and such connection and the work incident thereto has been app
propec and suitable connection.
402.06.REPAIRS AND MAIN7'ENANCE TO CONNECTION
After the initial connection has been made to the water service cu�rb s�aP be forrconnectioni�the pplicant owner,
Nne or a water service or sewer lead has been extended to the property lin
or the occupant or user of such premises shall be(iabie for all repairs required to arty wate��ner re uests r��nes
necessary for connection of the premises from the main to the premis o��ne shall be harged for he costs of the
maintenance service or repairs be performed by the City,the propertY
maintenance and/or repairs, including any necesn aWner,o cupant or user to per�o m standa d maintena'nce of
policy. It shall be the responsibifity of the applica ,
- the sewer service line from the premises to the main includn ad���ensure that it emcains abo e the fin shed he
water service cur6 stop box for operability and at such he g
grade of the land or property. (Ref 638,1156,1191) .
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