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Re uest (V-umber: 8390
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Pubtic Works Division
Service Request
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Probiem Address: 25 66tl�Way Requested By: Bonita Johnson
Department: WATER Address: No address provided
Problem/issue: INSTALLAMR METER Phone Number: 571-8041
Scheduled Date: 201407-14 Scheduled Time: 09:OO:QO
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201407-10
ACTION TAKEN:
Old meter#34210880 Old reading: 3 640 New meter#44921193 ERT#35159471
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Status: Completed Resident Contacted O
Date Completed: 2014-07-14 Cornpleted by: Ryan Johnson �
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Request Number: 8390
Public Works Division
Service Request
Problem Address: 25 66th Way Requested By: Bonita Johnson
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-8041
Scheduled Date: 2014-07-14 Scheduled Time: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201407-10 .
ACTION TAKEN:
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Status; In Progress Resident Contacted ❑
Date Completed: Complet b •
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- _._. City of Fridley . .
_ . _�. Water Department ._ _ ___ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorire the�ty of Fridley and/or its
empfoyees to do what is necessary to repiace the water meter, 1 understand that the property owner
is lisble for the water iine from the main to the premise and all intertor plumbing. (Per City code
4U2.06) 1 also hold the Gty of Fridley andiits employees harmiess for any damages that may oecur
while doing this operation. This to inctude,but not limited to,valves,piping,walis,floo�s or the curb
stop Lmx and service line. f understarnd t am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(o{d meter) ��`�-' � `� t�
Name• Address'
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Phone Number. Date• '�'`'`� '
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Signature:
Wftness Signature•
FRIDLEY GTY CODE '
CHAPTER 402.W TER,STORM WATER,AND 5ANI7ARY SEWER
ADMINISTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMI7 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 appiication is made,the owner or contractor sha41 be required ta obtain a pe�mit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. Afte�such connection has been
made,the Water and Sewer Department shatl be notified. It shall be untawful to cover any connecting line until an
inspection has been made and such connection and the work inddent thereto has been approved by the�ty as a
proper and suitabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After tfie initiaf 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 tead has been extended ta fihe properry line for connection,the applicant,owne�r
or the occupant ot user of such premises shaf{be liable for alt repairs required to any water flne and sewer lines
necessary for cunnection af the pcemises from the main to the premises. If the prop�cty owner requests
maintenance service or repairs be perfurmed by the City,the property awner shall be cha�ged for the costs of the
maintenance and/or repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. ft shail be the responsibility of the applicant,awner,occupant or user to perfarm standard mai�tenance uf
� the sewer service line from tfie premises to the main including debris ctearing or root cutting and to malntain the
water service curb stop box for aperability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)