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Request Number: 9149
Public Works Division
Service Request
Problem Address: 6425 Christenson Lane Requested By: Rick Kaczmarczyk
Department: WATER Address: No a�lress provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4027
Scheduled Date: 2014-10-15 Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
ACTION TAI�N:
Old meter 3 98448985 Old readin :072 10 Newmeter#44920924 ERT#35172150
Status: Completed � Resident Contacted I'"
Date Completed: 2014-10-15 Completed by: Ryan Johnson
Hours
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Request Number: 9149
Public Works Division
Service Request
Problem Address: 6425 Christenson Lane Requested By: Rick Kaczmazczyk -._.
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4027
ScheduledDate: 2014-10-14 ScheduledTime: � � �.3v
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ACITON NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-10-13
ACTION TAI�N:
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Status: 1n Progress Resident Contacted Cl
Date Completed: Completed by:
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- City of Fridley
_ _ , .,. uLiar�r Clepertment
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6431 University Avenue NE
Fridley�MN 55432
(763)572-3566
1/we hereby authari=e the�ity of Fridley and/or its
empfoyees to do what is necessary ta repiace the water meter. I understand that the property owner
;s I;abie for the water line fram the main to the premise and all interior plumbing. (Per Gty code
4�.06� t also hold the Gty of Fridley andiits employees fiarmiess or any amages a ma— y—o�urr-
while doing this operation. This to include,but not limited to;valves,PiP�ng,walls,floors or the curb
�top box and senrice line. 1 understand I am also required to o6ta�n a permit prior to any work,ff
necessary. �
Finat meter readin old meter V� ��� �
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Name: Address• ��� ��"" � s��` ��''
Phone Number. [tiate: ��� ` �(��/�
Slgnature:
Witness Signature: °
FRIDLEY UTY'CODE
ER 402.WATER,STORM WAl'ER,Atdd SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113!454,565,5fi6,629,638,6fiZ,922,988,114A�,1156,1191}
402.05.PERMIT FEE
Prior to canstructing 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,�nd shail pay a permit fee as prov'sded in Chapter 11 of th'ss Code. After such connectian has been
made,the Water and Sewer Department shafl be notified. It shafl be untawful to cover any connecting line untii an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitabte conneetion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
.p#��b�p���p�-r��n has t,pPn made to the water service curb stov b4x 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 tiable for all�epairs required to any water line and�ewer lines
necessary for connection of the premises ftom the main to the premises.:If the prope[ty owner request5
maintenance service or repairs be performed by the City,the property awner shall be charged for the cnsts of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
po{icy. It shati be the responsibility of the appticant,awner,occupant or user to perform standard maintenance of
- the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stap box for aperability and at such height as will ensure that it remains above the finished
. .. . . ._ . . __. ._. .
„'grade di tfle land or�ro��t�y.�{Re►638,_1,�5,t��3:� ..