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Request Num6er: 9256
Public Works Division
Service Request
Problem Address: 141 Christenson Ct Requested By: Saza Rudolph
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 1-651-212-0321
Scheduted Date: 2014-10-28 Scheduled Time: 10:30:00 �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
Old meter#97132387 Old readin 089 110 Newmeter#44921064 ERT#35172594
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Status: Completed Resident Contacted I�
Date Completed: 2014-10-28 Completed by: Ryan Johnson
Hours
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Request Number: 9256
Public Works Division
Service Request
Problem Address: 141 Christenson Ct Requested By: Saza Rudolph
Department: WATER Address: No address provided
Problemiissue: INSTALL AMR METER Phone Number: 1-651-212-0321
Scheduled Date: 2014-10-28 � Scheduled Time: 10:3.0:00
/
ACTI�N NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAi�N:
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Status: In Progress Resident Contacted C3
Date Completed: Complete b :
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- City of Fridley
- iN�t�r[?ppartmpnt
. � _,. .P..,..
6431 University�lvenue NE
F�idley,MN 55432
(763j 572-3566
�/we hereby authorize the CitY af Fridley and/ar its
employees to do what is necessary to reptace the water meter. i undersstand that the property owner
is ltahle for the water{ine fram the main ta the premise and aii int�riar plumbing. (Per�ity code
482.a6y i alsa hofd the City of Eridiey and/its emplayees harmless or any amages � may occur-
while doing this�►peration. This to include,but nat limited to;valves►Pipi�g.wa��s,flo+ors or tfie curb
stop box and senrtce line. I understand 1 am also required to ohtain a permit prioc to any work,if
necessary.
Finai meter reading(otd met�r� ���o ��
Mame: Address•
I�l� ��t�-� �°��`�
Phone Num r. Date: ��vv��`
5ignature
Wttness Signature:
FRIDLEY qTY CODE
4Q2.WATER,STORM WATER,AND SANRARY SEWER
ADMlNISTRATION
(Ref Ord Na 113,4b4,565,566,629,638,662,922,988,1144,1156,1191�
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or buiiding for which the applicatian is made,the owner ar contractor shall be required to obtain a permit for such
connection,and shali pay a pe�mit fee as provided in Chapter 11 of this Code. After such cannectian has been
made,the Water and Sewer Department shall be natified. it shatl 6e unlavvfut to cover any c4nneding tine unt�l an
inspection has been made and suth connection and the wark incident thereta has been approved by the Ciry as a
properand suitable connectfon.
402.06.REPAIRS AND MAINTENANGE TO CONNECf'tON
���� . � � ,.�n+�+tio u,�+pr service cur6 stoa box or the sewer tead at the propert�
line or a water service or sewer lead has been extended to the propertyline for cunnection,the�applu�nt,owner,
ar the accup�nt or user of such premises shal{be liable far all�epairs required to any water line and sewer lines
necessary fior connection of the premises from the main ta the premises. ifi the propgtty owner requests
maintenance servite or repairs be pe�Formed 6y the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, inctuding any necessary street repairs,at a rate set annuaily by.an administrative
policy. lt shall be the responsihility af the applicant,owner,occupant or user ta pe�farm standard maintenance of
• the sewer service line from the premises to the main including debrisciearingor root cutting and tn mainta(n the
water service curh stop box fiar operabilitl+and at such height as wilf ensure that it remains above the finished
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