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Request Number: 8949
Public Works Division
Service Request
Problem Address: 184 Christenson Court Requested By: Vero�ica Bojidar
Department: WATER Address: No adch�ess provided
Problem/Issae: INSTALL AMR METER Phone Number: 57l-9157
SchedWed Date: 2014-09-26 Scheduled Time: 02:00:00
ACTiON NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAI�N:
Old meter#97280654 Old reading:�550 Newmeter#44922157 ERT#35159484
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Status: Completed Resident Coatacted I""
Date Completed: 2014-09-26 Completed by: Ryan Johnson
Hours
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Request Number: 8949
Public Works Division
Service Request
Problem Address; 184 Christensen Court Requested By: Veronica Bojidar
Department: WATER Address; No address provided
Problem/7ssue: INSTALLAMRMETER PhoneNumber: 571-9157
Scheduled Date: 2014-09-26 � SchedWed�5me: 02:00:00
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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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5tatus: InProgress ResidentContacted ❑
Date Completed: Completed y:
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- City of Fridley
.. . . •lNater Department . _ . . . .__ . ,�.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�t11�Fr�d�e1►and/or its o�er
employees to do what is necessary to replace the+nrate�meter. t understand that thP proPe�e
��;;����f�r+E+p water line from the main to the premise and aq iMerior piumbing. ( �Y
40Z.Q6) 1 also hold the City of Fridley and/its employees harmless or an inam�Is,���o— r���b
white doing this operation. Th4s ta include,hut nat limited to;valres►pip g►
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. O ���`J
Final meter reading(oid meterj r
Name• �/
Address: 1� ! �i3�'�- ��
Phone Number:
Date• C���P `l7
Signature•
Witness Signature•
FRIDLEY CITY C�DE
CHAPTER 4U2•WA'fER,STORM WATER,ANO SANiTARY SEWER
ApMINISTRA710N
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
MJ2.05.PERMIT FEE
Prior to constructing or repair of any vuater or sewer line connecta�o�hall be equiredta'obt n a permit forwch
or building for which the application is made,the owner or cont
connection,and shall pay a permit fee as provided i�Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any�oved by h City as a n
inspection has been made and such connection and the work incidentthereto has been app
proper and suitable connection.
qp2,Q6,REpAIRS AND MAINTENANCE TO CONNECTI�N
���� r service cu�b sto box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user af such premises shall be liable fo�aU repairs required to any wate��ner requests r lines
necessary for connection of the premises from the main to the premises. If the prope[ty
maintenance service or repairs be performed by the City,the property uwnec shall be charged for the costs of the
maintenance and/or repairs, including an anelce n{�Wn�t o p�pant or u er to pe�form�t ndard ma n enance of
po licy. I t s h a i l b e t h e r e s p o n s i b i l i ty o f t h e p p ,
• the sewer service line f�om the premises to the main including debris clearing or roo t cu tting a n d t o m a i n t a i n t h e
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water senrice cur6 stop box for operability and at such height as will ensure that it remains above the fiinis e
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"`graite of�ttje land or-�ropet3y.�(Ref 638,-��5�� _ -_ -..-