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Request Number: 9155
Public Works Division
Service Request
Problem Address: 213 Christenson Way Requested By: Kim Hanlon
Department: WATER Address: No address provided
Problera/Issue: INSTALL AMR METER Phone Number: 763-232-1274
Scheduled Date: 2014-10-21 Scheduled 13me: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt D�te Created: 2014-10-13
ACTION TAI�N:
Old meter# 16547080 Old reading 053 80 Newmeter#44921479 ERT#35172578
Status: Compieted Resfdent Contacted L"`
Date Completed: 2014-10-21 Completed by: Ryan Johnson
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Request Number: 9155
Public Works Division
Service Request
Problem Address: 213 Christenson Way Requested By: _Kim Hanlon _.
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-232-1274
Scheduled�— 2014-10-21 Scheduled'Ifine: 07:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
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- City of Fridley
, ,_, W�ter�eaartment
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6431 University Avenue NE
Fridley,MN 55432
[763�571-3566
I/we hereby authorize the t�t11 of fridiey and/or tts
employees to do what is necessary to replace the water meter. I understand that the propertyr owner
ic liable for the water line fram the main to the premise and aH interior plumbing. (Per City code
402.06) i alsa hold the City of Fridley and/its emptoyees harmless or any amages a may��ie-
while doing this operation. This to inciude,but not limit+ed to;vaives►piping,walis,floors or the curb
stap box and service line. 1�+nderstand{arn also required ta obtain a per+nit priar to any work,if
necessary. �� �� � l�
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Final meter reading(ald meter)
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Name• Address• �� �����-���
Phone Numher: Date; f��/'t "/
Slgnature: �
Witness Signature•
FRIDLEY CtTY C�DE
ER 402.WATER,STORM WA'f@R,AIVD SANITARY SEINER
ADMfNiSTRATfUN
(Ref Ord Na 113,464,565,566,629,638,662,422,988,1144,1156,1191)
4t12.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any house
or building for which the application is made,the owner or contracto�shaU be required to obtain a permit for such
connection,and shalt pay a permlt fee as pravided in Chapter 11 of this CAde. After 5uch connection has been
made,the Water and Sewec Department shal!be notified. It shail be unlawful to cover any con�ecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Ciry as a
proper and suitahle connection.
402.Q6.REPAIRS AND MAINTENANCE TO CONNECTION
������p�y�p���hPpn madP to the water service curb stop box or the sewer tead at the prapert�
line or a waCer service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premues shalt be liable for alf repairs required ta any water line and sewer tines
necessary for connection of the premi�es ftom the main to the premises. if the propetty owner requests
maintenante service or repairs be performed by the City,the property owner shalf be charged for the costs of the
. maintenance a�d/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. ft shali be the respansibitirty of the applicant,awner,occupant or user to perf.orm standard maintenance of
• the sewer service line from the premises to the main including debris clearing or roat cutting and to maintain the
water�ervice cur6 stop box for operabifity and at such height as will ensure that it remains abave the finished
_ . ._ ._.__ ._.
"'grade of t��e land or-prop�t�y. SReF 63�,-2��6,.t�n3:) �