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Request Number: 8975
Public Works Division
Service Request
Problem Address:� 6493 Christenson�D�t�.�.-_.Y Requested By: Glen Henry .�W�V.~.4�V'�._.�.
Department: WATER Address: No address provided
' Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-502-1843
SchedWed Date: 2014-10-03 Scheduled Time: 02:00:00
ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-25
ACTION TAI�N:
Old meter#98160823 Old reading:094 10 Newmeter 3 44920911 ER'P�35159556
Status: Completed Resident Contacted !"'
Date Completed: 2014-10-03 Completed by: Ryan Johnson
Hours
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Request Number: 8975
Public Works Division
Service Request
Problem Address: 6493 Christenson��a Requested By: Glen Henry
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-502-1843
Scheduled Date: 2014-10-03 � Scheduled Time: 02:00:00
� �
ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-49-25 /
ACTION TAI�N:
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Status: In Progress Resident Contacted Q
Date Completed: Completed
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- City of Fridley
_.__,... ._ . _� . Water.Deparkm�nt __. .
. ._ _ _ _ _ . _ __a_.._. . _ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i/we hereby authorize the�h►�Fridiey and/or its oWner
employees to do what is necessary to replace the water meter. I understaind that the propertY
��i a�ti i o f�r+hp w a t e r l i n e fr o m t h e m ain to the premise and ali iMeriar plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless or any amages t T i a�m a Y�-
while doing this operation. This to include,but not limited to;valves►P�P«B►�►alls,floors or the curb
stop box and service 1ine. 1 understand 1 am alsa required to obtain a permit prior to any work,ff
necessary. ��� � � �� ,
Final meter reading�old meter)
3,�-sU� 1-�`'`
Name: Address•
phone Number: Date: ����`�
Signature:
Witness Signature:
FRIDLEY C17Y CODE
APTER 402.WA'fER,STORM WATER,AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,4b4,565,566,629,638,662,922,988,1144,1156,1191�
40ZA5.PERMIT FEE
Prior Co constructing or repair of any water or sewer Ifne connecti�or shall ben eguiredtu'o6t n a permit for suth
or buildin�for which the application is made,the owner or con
connection,and shal{pay a permit fee as p�ovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be uniawful to cover any connecting line until an
lnspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�#�r�p�..iAi#i�Lto[��ediot�.hasht�Pn rna e to th * r service curb stoa box os the sewer lead at the propert�
line or a water service or sewer lead has been extended ta the property line for connection,the applicant,owner,
ar the occupant or user af such premises shall be liable for all repairs required to any watowner requests r��nes
necessary for connection of the premises from the main to the premiseOWn shall be charged for the casts of the
maintenance service or repeirs be performed by the City,the property
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
po{icy. tt shatl be the responsibil'ny of the applicant,owner,occupant or use�to perform standard maintenance of
the sewer service line from the premi5es to the main including debris clearing or root cutting and to mairrtain the
water service curb�top box for operability and at such height as wili ensure that it remains above the finished
. . .. . .. . ._ . -
_..._ _... _- � .__.
gracfe'of tfie land or�rop�rty. (Ref 63�,���,'�3_ _..
._ .:_ _..._. _. _ _. .
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