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Request Number: 9111
Public works Division
Service Request
Problem Address: 6414 Christenson Ln Req�sested By: Donald Smith
Department: WATER Address: No address provided
ProbleuilJssue: INSTALLAMRMETER PhoneNumber: 763-586-Q115
Scheduled Date: 2014-10-16 Scheduled TSme: 01:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-09
AC'ITON TAI�N:
Old meter#98578540 Old readin 039 40 New meter 3 44921477 ERT#35172122
Status: Completed Resident Contacted I'"
Date Completed: 2014-10-16 Completed by: Ryan Johnson
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Request Number: 9111
Public Works Division
' Service Request
Problem Address: 6414 Christenson Ln Requested By: Donald Smith .
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-586-0115
ScheduledDate• 2014-10-16 Scheduled'Ifine: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the�ty of Frid�ey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
i�liahle for the water line from the main to the premise and all interior plumbing. (Per City code _ _
402.06) I aiso hold the Gty of Fridley and/its empioyees harmiess for any amages a may c
white doing this operadon. This to include,but not limited to;�alves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary. O�� � ���
Fina)meter reading told meter� �
' Name• Address•
_�'��r � ��''r�i��v` �-
PhoneNumber: Date: d��` �—��
Signature• -
Witness Signature:
FRIDLEY CITY CODE
CHA 402.WATER,STORM WA7ER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prioc to constructing ar repair af 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 shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
' proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���q�� nnartinn h 5 haPn rnade to th-•••�}er service curb stop 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 of such premises shall be liabie for all repairs required to any wate�r�l�i'ner red ests r tines
necessary for connection of the premises from the main to the premises. If the prop�[ty �
maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set an�ually by an administrative
policy. It shall be the responsibil'ity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main inctuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
_ _._�._�_._ :...__.___:;.:--grad�ofthe'land-�or proper�y:-�-Re�63�,a:LS,�193�__ .__�__._.. ..----. _._.:_ .� .: _ _- - . _ __._. -. .:.�. _. ._. _--- -..._:.: :�___