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Request Number: 8990
Public Works Division
Service Request
Problem Address: 138 Christensen Ct Requested By: 'lhomas Hanzel
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phoae Number: 763-574-3567
Scheduled Date: 2014-09-30 Scheduled Time: 09:00:00
ACTION NEEDED:Install AMR
Created by: Ju1ie Horak Date Created: 2014-b9-29
ACTION TAI�N:
Old meter#97132392 Old reading: 27 70 New meter#44921360 ERT#35171963
Status: Completed Resident Contacted C"` '
Date Completed: 2014-09-30 Completed by: Ryan Johnson
Hours
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Request Number: 8990
Public Works Division
Service Request
Problem Address: 138 Christensen Ct Requested By: lhomas Hanzel
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-574-3567
Scheduled Date: 2014-09-30 heduled Time: 09:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-09-29
ACTION TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Complete y:
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- City of Fridley
_ ..,_- Water L�epartment
. .
.._._. ., ._.,_...
6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
I/we hereby authorize the tity of Fridley and/or its
emptoyees to do what is necessary to replace the water meter. 1 anderstand that the property owne�
�liable for the water tine from the main to the premise and all interior plumbing. (Per Gty code
402.�6) 1 alsa hold the City of Fridley and/its empioyees harmless or any amages a may�P-
while doing this operation. This tu include,6ut not limited to;valves,piping,watls,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� �� �� � ` O
Name• Address•
�3� C�r�3�-s� C4 tr✓�f
Phone Number: Date: �r J U�!�
Signature• _
Wltness Signature:
ERIDLEY CITY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
4A2.05.PERMIT FEE
Prior to constructing or repair of any water ar 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 obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 uf this Cade. After such connection has been
made,the Water and Sewer DePartment shall be notified. it shall be unlawful to cover any cannecting line until an
inspection has been made and such connection and the work incident thereta has 6een approved by the City as a
proper and suitable tonnectfon.
402A6.REPAIRS AND MAINTENANCE TO CONNECTION
.,p�a���nartinrt ha�noPn rnade to the water service cur6 sta�bnx or the sewer lead at the propert�
line or a water service or sewer lead has 6een extended to the property line far connection,the applicant�owner,
or the occiipant or user of such premises shall be liable for all�epain required to any water line and sewer lines
neces5ary for connection of the premises from the main to the premises, if the prop�[ty owner requests
maintenance service or repairs be performed 6y the City,the property awner shall be charged for the costs of the
. maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by.an administratide
policy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service tine from the premises to the main inctuding de6ris clearing or raot cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains abave the finished
. _ . ._ .. . .._ __ .
"'grade of�tfie lard or�ropetty.�(Re�635,_Z�S,-:t���:) .� .. . _ . . _ .