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City of Fridtey
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
I/we 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 a!I interior plumbing. (Per City code
402.06) I also hoid the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inctude,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. I understand i am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� �� ���
Name• Address �� 1 �`
Phone Number. Date: �~�C7�
Signature: �
Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
/�DMINISTItATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building fo�which the application is made,the owner or contractor shal{be required to obtain a permit for such
connection,and sha!!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 shali 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 CONNECTICIN
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 connection,the applicant,owner,
or the occupant or user af such premises shall be liabie for ail 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 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 including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such he+ght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191) �
Request Number: 6860
Public Works Division
Service Request
Problem Address: 671 Helene PI Requested By: Sandi Hara
Department: WATER /�ldress: No address provided
Problemllssue: READ METER(WATER) Phone Number:
Scheduled Date• Scheduled Time:
��OSi� '� --
ACTION NEEDED: Read meter. Closing 9/24/13 ERT�Ki3370967
Created by: Wendy Hiatt Date Created: 2013-08-30
ACTION TAKEN:
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Status: In Progress Resident Contacted 0
Date Completed: Completed by:
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Hiatt, Wendy
From:• • Christiansen, Tammy Marie
Sent: Friday, August 30, 2013 8:59 AM
Ta Hiatt, Wendy
Subject: Final Meter Reading
Wendy,can you send the guys out please to do a final meter readings at 671 Helena PI NE. They are not closing til
9J24/13 so closer to that date would be wonderfui. ERT#33370967
Thank you very much
Tammy
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