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Problem Address: 180 Christensen Ct _ ,�., � Tamerat Atedesse
Department: WATER *,����¢i�/'�-:��'Y�� � Vo address provided
Problem/Issue: INSTALL AMR METER . _ u U �� i12-703-8243
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ScheduledDate: 2014-10-17 � ;� ,_ a ,�"�'���"� 9:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: � 2014-10-13
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ACTION TAI�N: i"���
Old meter#97280652 Old reading 0738 00 Newmeter�44921173��RT#35171�667
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Status: Completed Resident Contacted t"
Date Completed: 2014-10-17 Completed by: Ryan Johnson
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Request Number: 9153
Public Works Division
Service Request
Problem Address:..._ 180 christensen ct Requested By: Tamerat Atedesse
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-703-8243
Scheduled Date: 14-10-17 SchedWed Time: 09:00:00
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ACTION NEEDED:Install AMR
Created by: Ju1ie Horak Date Created: 2014-10-13
ACTION TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Complete by:
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� City of Fridiey
_ - _:-_. W�ter Departmen#
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6431 University Avenue NE
Fridiey,MN 55432
(763)57Z-3566
t/we hereby authorize the tity of Fridley and/or tts
employees to do what is necessary to replace the water meter. 1 understand that the property owner
_is fiable for the water Iine from the main to the premise and all interior plumbing. (Per Cny cade
4U2.Q6) 1 aiso hoid the Ciiy of Fridley and/its emptoyees harmiess or any amages a ma�-
while doing this apecation. This ta include,but not limited ta;vaWes,piping,wails,floo�s or the curb
stop box and service line. I understand i am also required to o6tain a permit prior to any work,if
necessary.
Finai meter reading�old met�r) � � ��
Name• Address:,�� � ���
Phone Number: Date:_G�V 1 l �
Signature•
Witness Signature•
FRIDLEY ClIY CODE
TER 402.WATER,STORM WATER,AlVD SANITARY SEWER
ADMINISTRAI'ION
(Ref Ord No 113,454,565,566,629,638,6GZ,922,988,1144,1156,1191)
442.i15.PERMil'FEE
Prior to constructing or repair of any water or sewer line connecting the existing mu�icipal system and any house
ar building for which the apptication is made,the owner or contractor shatl be required to obtain a permit for such
connedion,and shaN pay a permit fee as pravided in Chapte�11 of this Code. After sueh cannectton has been
made,the Water and Sewer Department shal{be notified, it shall be unlawfuf to cover any connecting iine untit an
in5pection has been made and such connection and the work incident thereta has 6een approved 6y the City as a
proper and suitabte connectfon.
402.b6.REPAIRS AND MAINTENANCE TO CONNECTION
-A#ter-tqaiaitial coaaecGna.hat hPpn rnade to the water servtce cur6 sta�bax nr the sewer lead at the propert�
fine or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
ar the occupant or user of such premises shall be liabte far al!repair�required to any water line and sewer lines .
necessary for connection of the premises from the main to Che premises. If the propetky owner requests
maintenanze service or repairs be performed by the City,the property awner shaii be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It sha{I be the responsibifiry of the applicant,awner,occupant or user to perform standard maintenance of
- the sewer service line from the premises to the main inctuding debri5 clearing or root cutting and to maintain the
water service curb�top bvx for operability and at such height as wili ensure that it remains above the flnished
. . . . ._ .. . .--- . .
,"grad"e of tfie land or�ropetfy.�{Rat 638,_1�55,.1�93:j .. .� . .. , : ._ .