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• Request Number: 15363
Public works Division
Service Request
Problem Address: 7ll 5 Riverwood Dr Requested By: James Alton
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-572-3873
Scheduled Date: 2017-OS-19 Scheduled Time: Ol:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-OS-15
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �,! (C�` � � Completed by: � �.
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` City of Fridley ���j ' �����v �0 '
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Water Departrnent
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/•ae hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 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 and/its employees harmless for any damages that may occur while 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) �3 � �-f 5�e� � �
Name: �CI;Vv�;�`� ���'�$'1 Address �� �� �1�i��I��-l: C,k,1� ��ir_
Phone Number �� 3 � ���` ' �� / � Date � ��" ��� � ��
Signature Witness Signature
OLD METER# ^ `�� F �� ���� 0�
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OLD READING � l�� � v
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NEW METER# � � //t�`2 ���'�
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NEW READING V � t
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ERT# 1 � � � � ` � �"- �,(f��'�^'�C�.�.
FRIDLE ,{����%'
CHAPTER 402.WATER,STO /
ADM `�17
(Ref Ord No 113,464,565, 566, 6 �.,.,, �...,_,
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402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connectinb_.._____ „ _ �y house 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. After such connection has been made,the Water and Sewer Department shall be notified. It shall be u�lawful 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 connedion.
402.06 REPAIRS 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 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 connedion of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintena�ce and/or
repairs,including necessary street repairs at a rate set annual�y 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 r�vater service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 11720
Public works Division
Service Request
Problem Address: 71 I 5 Ri�nervwood Dr Requested By: Jim Pothen
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ON/OFF Phone Number: 763-572-3873
Scheduled Date: 2016-07-18 Schedul ed'R me: 08:00:00
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ACTION NEEDED:Tum off water for repair.****BILL*** 4, `� � �
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Created by: Wendy Hiatt Date Created: 2016-07-15
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been �
Contacted
Date Completed: Completed by:
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