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Request Number: 9092
Public Warks Division
Service Request
Problem Address: 201 Christenson Way Requested By: Billy Jo Brickson
Department: WATER Address: No address provided
Problem/Issue: INSTALL�METER Phone Number: 612-366-4593
Scheduled Date: 2014-10-14 Scheduled'Iime: 11:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-08
ACTION TAI�N:
Old meter#97176116 Old readi :057 840 New meter#44921006 ERT#35172020
Status: Completed Resident Contacted [""'
Date Completed: 2014-10-14 Completed by: Ryan Johnson
Hours
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Request Number: 9092
Public Works Division
Service Request
Problem Address: 201 Christenson Way Requested By: Billy Jo Erickson -. -
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-366-4593
Scheduled�:._ 2014-10-14 � 5cheduledTime: 11:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-08
ACTION TAI�N:
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Status: 1n Progress Resident Contacted ❑
Date Completed: Com leted by
Hours
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- City of Fridley
__ _ Water Department
__ ..
5431 University Avenue NE _ _
Fridley,MN 55432
{763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
� ;�tia6le for the water fine from the main to the premise and aN interior ptumbing. (Per City code
4U2.06) 1 aisa hold the Gty of Fridtey and/its employees harmless or any amaBes ffiat maY o�� �-�- �"
while doing th�s operadon. This to include,but not limited to;valves,pipin8.walls,floors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meCer reading(ofd meter�
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Name: Address• �/ ��r � ✓
Phone Num6er• Date. j���'��
Signatare•
Witness Signature:
FRIDI.EY CiTY Cf�DE
CHAPTER 402.WATER,STORM WAT�R,ANO SANlTARY SEWER
ApMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT�EE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buitding for which the app{ication is made,the owner or contractor shatl 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 shaN be notified. tt shatl 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 suitabte connection.
402.06.REPAIRS AND MAINTENAIdCE TO CONNECTION
��bg„jpj�a�,.�ppnarfinn hat hPp��w'� *^*���"ter service cur6 stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline far connection,the applicant,owner,
or the occiipant or user of such premises sha{I be tiabte for all repairs required to any water line and sewer lines
necessary for connection of the prernises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the property awner sfia!{be charged for the costs of the
maintenance and/or repairs, ir►cluding any necessary stceet repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main 9ncluding debris clearing or raot cutting and to maintaln the
water service cur6 stop box for aperabifity and at such height as wiii ensure that it remains above the finished
. .
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