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Req u est N u m ber: 8307
Public Works Division
Service Request
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Problem A,ddress: 250-67th Av�e NE Requested By: Don Will
Department: WATER Address: No address provided
Probiemllssue: INSTALLAMR METER Phone Number: 763-571-5200 G651-336-3784
Scheduled Date: 2014-07-08 Scheduled Time: 10:00:00
ACTION NEEDED: InstaN AMR
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN:
Old meter#94971313 Old reading: 14 90 New meter#44921907 ERT#35159583
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Status: Completed Resident Contacted O
Date Gompleted: 201407-08 Completed by: Ryan Johnson
Hours
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Request Number: 8439
Public Works Division
Service Request
Problem Address: 250 67th Av�e Requested By: Don W il{ ,
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF Phone Number: 571-5200
Scheduled Date: 2014-07-15 Scheduled Time: 10:00:00
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ACT1t�N NEEDED: Turn off water for repair.*"""BILL*"`* Permit#
Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAKEN:
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Status: In Progress Resident Contaeted ❑
Date Completed: Completed by:
Request Number: 8307
Public Works Division
Service Request
Problem Address: 250-67th Ave NE Requested By: Don W ill
Department: WATER /�ldress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-5200 C-651-336-3784
Scheduled Date: 201407-08 Schedu Time: 10:00:00
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ACTION NEEDED: lnstall AMR
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN:
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Status: In Progress Resident Ccntacted ❑
Date Compieted: Compiet by:
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. - City of Fridley _ _
. . _.. Water Department .. _.- .
6431 University Avenue NE�
Fridfey,MN 55432
� (763)572-3566
{/We fiereby authorize the City of fridley and/or its
employee5 to do wfiat is necessary to repiace the water meter. t understand that the propertY uwne�
is tiabie for the water line from the main tu the premise and afl interiar p{umbing. 1Per Cifis code
402.06) f aisa hold the Gty of Fridley and/its empfoyees hanntess for any dam�es that may occur
while doing this operatian. This to include,but not limited to;valves,piping,wal{s,floors or tfie curb
stap box and service fine. 1 understand i am also required to obtain a permit pNor to any work,if
necessary.
Final meter reading(old meter) �� � "' "
Name: Address: �� W�t� �V C•
Phone Number. Date: �� v� I�
Signature•
Witness Signature•
FRIDLEIf CITY C�DE
CHAPTER 40 .W R,STORM WATER�AND SANITARY SEWER
ADMINISTRATION
(Ref�rd No 113,464,565,566,629,638,662,922,988,1144,1156,1141j
402.05.PERMIT FEE
Prior to constructing or repa9r of any water ar sewer line connecting the existing munidpal system and any hous.e
or huildiag for which the application is made,the owner or contractor shalf be required to obtaPn a permit for such
wnnectian,and shall pay a permit fee as provided in Chapter 11 of this Gode. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful ta cover any connetting Iine 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 connection.
402.06,REPr41RS AND MAINTENANCE TO CONNECTION
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 extended to the property line for connectton,the applicant,owner,
or the occupant or user of such premises shall be liabie for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. if the prop�tty owner requests
maintenance service or repairs be performed by the City,the property uwner shall be chatged for the costs af the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
poficy. It shall be the responsihil'�ty of the applicant,owner,occupanC or user to pe�form�tandaM maintenance of
� the sewer service line from the premises to the main inctuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wfli ensure ihat it remains above tfie flnished
grade of the land or property. (Ref 638,1156,1191)