Meter Swap t
t Request Number: 16892
Public Works Division
Service Request
Problem Address: 6800 Madison St Requested By: Melanie Doherty
Department: WATER Address: No a�ess�xovidcd
Problem/Isaue: INSTALL AMR METER Phone Number: 612-695-9441
Sched 20 -09-19 � Sc6ednled 11me: 09:00:00
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AC"IION NEEDLD:
Created by: Beth Kondrick D�te Created: 20 t 7-09-OS
ACIION'PA�N•
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Statas: In Pro�ess Submitter Has Been �.,
Contacted
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Request for Service Report
, �ity of Fridley
Fieference No: 601-11-3129 Date: 06116f11
Request Type: Turn water aFFlon Entered By: Wendy Hiatt
Department: Water Citizen Name: Duane Doherty
Address= 6800 MADISON ST NE Callback Phone: 612-554-2007
Scheduled Dake: 06117111 12=30 PM .�'�Q Property Owner:
Location Details: Permit#2�11-00939 � Request Details: Shut water oFflleave key
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Action Taken:
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Responsible Person: � ��� � �
Approver: j —_WY—v_--�
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Completion Date: ��� �itizen Notiiied
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City of Fridley
Water Department
6�31 University Avenue NE
Fridley MN 55432
(763) 572-3561
U ��4 i� O"`�-� hereby authorize the City of Fridley and/or its
e ployees to do what is necess to shut off the water at the curb stop box. I understa�d
that the property owner is liable or the water line from the ma.in to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees harmless for any
damages that may occur while doing this operation. This to include, but not limited to,
sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I a.m also required to obtain a permit prior to any work.
Name: ��' � . Address: ��l�� /'�Nt�� S�'
Phone Number: �o( Z -515 Y-Z� Date: 6 ` �� "-j(
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Signature:
Witnes Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADNIINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMIT F`EE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any
house or building for which the application is made,the owner or contractor shall be required to obtam a
permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such
connection has been made,the Water and Sewer Department shall be notified. It sha11 be unlawful to cover
any connecting line until an inspection lias been made and such connection and the work incident thereto
has been approved by the City as a proper and suitable connection.
402.06. REPAIl2S AND MAINTENANCE T�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 properly 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 any sewer lines necessary for connection of the premises from the main to the premises. If
the properiy owner requests maintenance services or repairs be performed by the City,the property owner
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. 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 inciuding
debris clearing or root cutting and to maintain the water service curb stop box for operability and at such
height as will ensure that it remains above the finished grade ofthe land or property. (Ref 638, 1156, 1191)