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Request Number: 8348
Public Works Division
Service Request
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Problem Address: 290 67th Av�e Requested By: Lawnne Evans
Department: WATER Addreas: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-1859
Scheduled Date: 2d1407-OS Scheduled Time: 09:00:00
ACTIDN NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Crsated: 201407-07
ACTfON TAKEN:
Old meter#13843452 Old�eading:�0 New meter#44921908 ERT#i35159563
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Status: Completed Resident Contacted ❑
Date Completed: 201407-OS Completed by: Ryan Johnson
Hours
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, Request Number: 8348
Public Works Division
Service Request
Problem Address: 290 67th Av+e Requested By: Lavonne Evans
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 571-1859
Scheduled Date: 2014-07-08 � Scheduled Time: 09:00:00
� t
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-07
ACTION TAKEN:
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Status: 4n Progress Resident Contacted O
Date Completed: Completed by:
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- - - City of Fridley
. . --. Water Department - -� -
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Frid�ey and/or its
emPloyees to da what is necessary to replace the water meter. I understand that the property owner
�s liable for the water line from the main to the premise and a1{irrterior plumbing. (Per City code
402.06) 1 also hold the C�ty of F�idley and/its employees fiarmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,pipin,g,walls,floors or the cu�
stop box and servtce tine. 1 understand 1 am also required to obtain a permit prior to any work,ff
necessary. �� � �
eter ��
F(nai meter reading(old m )
Name• Address. ��� � `� ���'Ci . .
. Date� �~��f�
Phoae Number.
Signature: ���'�'t-e-
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1141)
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 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. Afte�such connection has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any connecting 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 connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop bax os the sewes lead at the prapetty
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 repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop��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 annually by an administrative
policy. ft shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises tu the main including deb�is clearing or root cutting and to maintain the
water senrice curb stop box for aperability and at such height as will ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)