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Request Number: 8956
Public Works Division
Service Request
Probtem Address: 182 Christenson Court Requested By: Melada Eisel
Department: WA1ER Address: No acldress provided
Problem/Issue: INSTALL,METER Phone Number: 763-567-1361
Scheduled Date: 2014-09-26 Scheduled 13me: 07:15:00
ACIION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAI�N:
Old meter#97280653 Old reading:048 40 New meter#44922154 ERT#35172066
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Status: Completed Resident Contacted I"'
Date Completed: 2014-09-26 Completed by: Ryan Johnson
Hours
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Request Number: 8956
Public Works Division
Service Request
Problem Address: 182 Christenson Court Reqaested By: Melada Eisel
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER Phone Nwmber: 763-567-1361
Scheduled Da e: 2014-09-26 Scheduled Time: 07:15:00
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ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAI�N:
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Status: In Progress Resident Contacted C1
Date Completed: Completed
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- City of Fridley
---- ` Water Department
__ . __ ,�.
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
��We hereby authortze the Gty of Fridley and/or its owner
employees to do what is necessary to replace the water meter. 1 understand that thP prope�
��Iia61e for the water line from the main to the premise and al)interior plumbing. ( �Y
402.Q6) I aiso hold the C'ity of Fridley and/its employees harmless or any amages ffiat maY o�P
while doing this operation. This to include,but nat limited to;val��►P�p��B.���s,flOO�or the curb
stop bax and service line. I understand I am also required to o6tain a permit p�or to any work,if
necessary.
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Final meter reading(old meter� ��
Name•
Address•�__ ���
. Date: -/� `�� ✓`%
Phone tVumber:
Signature•
Witness Signature•
,
FRIDLEY C17Y CODE
�H R 402.WAT�R,STORM WATER,ANO SANITARY SEWER
pDMINISTRATION
(Ref Ord No 113�464�565,566,629,638r 662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecti�or�hal ben equi�edto'bt in a perm'�t fors ch
or building for which the appl�cation is made,the owner or contra
cos+nection,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 shall be notified. It shail be unlawfui to cover any fOVe�Y th'e City as an
inspection has been made and such connection and the work inctdent thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAIN'fENANCE TO CONNECTION
��a����a service cu�b sto box or the sewer lead at the propert�
line or a water service or sewer tead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any wat�r�Nner cequest5 r I�nes
necessary for connection of the premises from the main to the premises. {f the propgcty
maintenance service or repairs be performed by the City,the property uwner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. It shall be the responsibil'�ty of the appticant,awner,occupant or use�to pecForm standard maintenance af
• the sewer service line from the premises to the main including debris clearing flr root cutting and to maintaln the
water service cur6 sto box for operability and at such height as will ensure that it remains above the flnish
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