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Fridley
Request Number: 17680
Pt�lic Worka Dlvision
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Pr Address: 262 57th Pl Reqaested By: Norma Rust
De��u�f: WATER A�dress: No ad�ess provided
Problem/Issne: INSTALL AMR METER Phone Number: ST1-S735
Scheduled Date: 2018-02-08 Schednied Tie1�e: 09:00:00 �
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ACIiON NEEDED:AMR
Cr�ed by: Wendy Hiatt DAte Cre�ed: 2018-02-02
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Status: In Progress 5ubmitter Has Been r
Coeticted
Dnte Completed: Completed by:
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City of Fridley �����
Water Department (�!���!�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meCer. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06� I also hold the City of Fridley andjits employees harmless for any damages that may occur whi{e doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� ��f/ � � v D
Name: iv o r�'� ��� Address ��� � �� ��•
Phone Number � '� � / J� Date � � ^ ��
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� Signature —"v Witness Signature
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OLD METER# ���c ��� SIZE & STYLE ICircle)
OLD READING �� ` ����� 5/8" HEX `��;
�R�tR � �.a�
NEW METER# � �
NEW READING � 1�" ELIPTICAL or HEX
ERT# 2" ELIPTICAL or HEX -���3 y5�-j
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to canstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whid�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 ii of this Code. After such connection has been made,the Water and Sewer Department shall be notitied. 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 connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or 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 property owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shall be charged for the wsts of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will e�sure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 5684
Public Works Division
Service Request
ProblemAddress: 262 57tl� Place Requested By: Sean w/E�ibit Plumbing
Department: WATER Address: No address provided
Proble sue: NO WATER(WATER) Phone Number: 763-286-2882
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ACTION NEEDED: Gate vaMe stuck-apartment building has not water. 1 1/2"water service line located in low�er
level halMray.
Created by: Wendy Hiatt Date Created: 2013-02-14
ACTION TAKEN:
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Status: In Progress Hours:
Date Completed: �� � l � Completed b� _ /
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