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Request Number: 9030
Public Works Division
Service Request
Problem Address: 6409 Christenson Lane Requested By: Lynn Pemring Phone 763-219-6741
Department: WATER Address: No a�Ch'ess provided
Problem/Issue: INSTqLL AMR METER Phone Number; 763-219-6741 Ly�m Penning
Scheduled Date: 2014-10-07 Scheduled Time: 08:00:00
ACITON NEEDED:Instail AMR
Created by: Cheryl Pellegrin Date Created: 2014-10-01
ACTION TAI�N:
Old meter#98448973 Old reading: 80 80 New meter#44920997 ERT#35159562
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Status: Completed Resident Contacted I"''
Date Completed: 2014-10-07 Completed by: Ryan Johnson
Hours
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` Request Number: 9030
Public Works Division
Service Request
Problem Address: 6409 Christenson Lane Requested By: Lynn Penning Phone 763-219-6741
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-219-6741 Lyim Penning
Scheduled 2014-10-07 �-j,� Scheduled'15me: 08:00:00
U.�s ��t�- � � � �
ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-10-01
ACTION TAI�N:
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Status: in Progress Resident Contacted ❑
Date Completed: Complete y:
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� �. - City of Fridley
_ . .- uuatnc Department
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6431 University Avenue NE
Fridley,MN 55432
� (763)5T2-3566
Iiwe hereby authorize the��ty of Fridiey andJor its
emptoyees to da what is necessary ta rep{ace the water meter. I understand that the praperty owner
is liable for the water tine from the maln to the premise and al)interior plumbing. (Per Gty code
402.Q6) i aiso hald the Gty af Fridley and/its employees harmless or any amages ma��i'-.
while doing this apera�on. This to include,but not iimited to;valves►P�P��B►�������or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
neces5ary.
Final meter reading(old meter� � ������
Name• Addr�ss. �� t G��^ ( ''"' SD u— — " �
Phone Number; Date: `'��� / -
Signature:
Witness Sig�ature•
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or 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 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shatl be unlawful to cnver any cannecting line until an
Inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO tONNECTION
�#�rho;��p�,���hPPn rnade to the water service curb stop box or the sewer lead at the propert�
line or a water ser+rice or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repair�required to any water line and sewer iines
necessary for connection of the premises from the matn to the premises. If the propetty awner requests
maintenance service or repairs be performed 6y the City,the property owner shall be charged for the cnsts of the
. maintenance andJor repairs, inciuding any necessary street repairs,at a rate set annuafly by.an administrative
policy. It shall be the responsibil'rty of the applicant,uwner,occupant or user to perform standard maintenance af
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
. water service curb stop box for operability and at such height as wtiU ensure tfiat it remains above the finished
.. . ., . .._ .__ .
"'grad"e of�tfie land or-propet�.y.�(Re�63$,-1�5,.t���:) .. .. . .. . _ -