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Request Number: 9112
Public Works Division
Service Request •
Problem Address: 120 Christenson Ct Requested By: Roger Holmes
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 612-309-1196
Scheduled Date: 2014-10-17 Scheduled 15me: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTTON TAI�N: �
Old meter#97756964 Old readi •039 40 New meter#U old brsss ERT#35172147
Status: Completed Resident Cflntacted C'"
Date Completed: 2014-10-17 Completed by: Ryan Johnson
Hours
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Request Number: 9112
Public Works Division
Service Request
Problem Address: 120 Christenson Ct Requested By: Roger Holmes
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 612-309-1196
5cheduled Date: 2014-10-17 5cheduled Time: 07:30:00
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ACTION NEEDED:2014 AMR.
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Completedby:
Hours
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- City of Frid{ey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
��We hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
i�liable for the water line from the main to the premise and all interior plumbing. (Per Gty c�ie _
402.06) I also hold the Gty of Fridley and/its employees harmless or any amages a may —��--� -
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit priur to any work,ff
necessary. ��� � ^�0
Final meter reading(old meter)
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Name:
Address: ��" ""�" � �T�v�'" `�
Phone Number• Date: �o�7��"/
5ignature•
Witrtess Signature:
FRIDLEY CITY CODE �
C TER 402.WATER,STORM WATER,AND SANITARY SEINER
ADMINISTRATION
(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 municipai system and any house
ar building for which the application is made,the owner or contrador 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 shali be notified. It shall be unlawful to cover any connecting iine 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
����a�p���a5�n�„adP to the water service curb stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properCy line far connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water iine and sewer iines
necessary for connection of the premises from the main to the premises. tf the prop�rty owner requests
maintenance service or repairs be performed by the City,the praperty owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set an�ually by an administrative
policy. it shall be the responsi6ility of the applicant,awner,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 operebiliry and at such height as will ensure that it remains above the finished
__ ._�._. ,__.:._. . _ . . __ _ _ . . _ _ ._ ..
___._...�.�ra�a�F"thetand or-properiy:-(Re€638,1155,13�3)_._ ___. ..,.__ . __. ...._ _.� ____.._ ._.____ . _ . .._ ._. __ _�__ , . _..