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Request Number: 9007
Public Works Division
Service Request
Problem Address: 204 Christensen Way Requested By: Carol Martin
Department: WATER Address: No address provided
Problem/Issue: INSTALL f�MI�ME'IER Phone Number: 763-572-0011
Scheduled Date: 2014-10-06 Scheduled Time: 08:00:00
ACTION NEEDED:�stall E1MIt
Created by: Julie Horak Date Created: 2014-09-30
ACTION TAI�N:
Old meter#96529715 Old reading 032 20 Newmeter#44920982 ERT#35159546
Status: Completed Resf dent Contacted [""
Date Completed: 2014-10-06 Completed by: Ryan Johnson
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Request Number: 9007
Pubfic Works Division
Service Request
Problem Address: 204 Christensen Way Requested By: Cazol Martin
Department: WATER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Number: 763-572-0011
Scheduled Date: 2014-10-06 � Scheduled Time: 08:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-09-30
ACTION TAI�N:
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5tatus: In Progress Resident Contacted p
Date Completed: Completed y:
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� - City of Fridley
_. __. _,... W�ter Department
: . .-.....,�,k._._
6431 University Avenue NE
Fridley,MN 55432
(7fi3)572-3566
I/we hereby authorize the t�fi►of F�idley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water iine from the main to the premise and all intarior plumbing. (Rer Cty code
401.Q6) i also hald the City af Fr�dley and/its employees harmiess or any amages a may�c�r-
while doing this operation. 'Tfiis to inclwde,but not fimited to;valves,piping.walts,flocrs or the curb
stop box and service line. I understand i am also required to o6tain a permit prior to any wark,if
neces5ary.
Final meter reading f old meter) � � �� � �
Name� Address: � ��i ��`�'`��1�
Phone Number: p�t�' la��J' ��
Signature:
Witness Signature:
FRIDLEY CITl(CODE
C PTER 402.WA7ER,STORM WATER,ANO�N17ARY SEWER
ADMINISTRATION
(Ref Ord Na 113,454,565,5fi6,629,638,662,922,988,1144,115fi,1141j
402.05.PERMIT FEE
Prior to constructing or repair af any water ar sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shali be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shaN be unlavrful to cover any connecting line until an
inspection hes been made and such connecCion and the work incident thereto has been approved by the Ci#y as a
proper and suitabie connection.
402.06.REPAIRS AND MAiNTENANCE TO CONNECftON
�������a}�e.,M�.�p r�rhp watP�-se�vice cur6 stoa hox or the sewer lead at the propert�
line or a water service or sewer iead has been extended to the propertyiine for connection,the applicant,owner,
or the occi�pant or user of such premises shall be liable for all�epairs required to any water line and sewer iines
necessary for connectian of the premi5es from the main to the premises. If the propetky owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance andJor repairs, including any necessary street repain,at a rate set annually by.an administrative
policy. It shall be the responsibility of the applicant,awner,occupant or user to perfarm standard maintenance af
• the sewer service line trom the premises to the main including debris clearing or root cutting and to maintain the
water service curh stop box for operability and at such height as will ensure that it remains above the finished
.. . . . _. . ..._. _ .
"'grade di t�r�e iand or-�rop�r�y. (R�i 63�,_].�5,1�g�:) _. - � - - �