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Request Number: 8943
Public Works Division
Service Request
Problem Address: 214 Christenson Way Reqnested By: Tiffany Dresen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-222-8050
Scheduled Date: 2014-09-30 Scheduled'l�me: 07:00:00
AG"1TON NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Create • 2014-09-22
ACTTON TAI�N:
Old meter#97132428 Old reading:�90 New meter#44921357 ERT#35172431
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Status: Completed Resident Contacted I""
Date Completed: 2014-09-30 Completed by: Ryan Johnson
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Request Number: 8943
Public Works Division
Service Request
Problem Address: 214 Christensen Way Requested By: Tiffany Dresen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-222-8050
Scheduled Date: 2014-0 -30 Scheduled'lime: 07:00:00
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ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-22
ACTION TAI�N:
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Status: Tn Progress Resident Contacted C�
Date Completed: Com le y:
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� - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763�572-3566
I/we hereby authorize the�fi►of Fridley and/or its
employees to do what is necessary to repiace the water meter. i understand that the properly owner
is Iiabie for the water line from the main to the premise and all interior pfumbing. (Per CitY code _`
402.Q6) I also hold the Gty of Fridley andiits employees harmless or an-�ama8es�iat maY o�t
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Finat meter reading(oid meter� ���� �� " - '
Name:
Address• ��� ""`" �l7�U�-�'��- "
Phone Num . Date: 1✓�� .��
Signature:
Witness Signature:
fRIDLEY CITY CODE
CH R 4pZ,WpTER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,555,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMII'FEE
Prior to constructing 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,and shall pay a permit fee as pravided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shail be notified. It shall be uniawful to cover any wnnecting line until an
inspection has been made and such conneetion and the work incident thereto has been approved by the Gry as a
proper and suitable connection.
402A6.REPAIRS AND MAINTENANCE TO CONNECTfON
�����,.��i,�n_ha�P�R..•aa�+�*��LL��*Pr service curb stou box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properry line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water tine and sewer tines
necessary for connection of the premises from the main to the premises. tf the prop�rty owner requests
maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an admin'�strative
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 inctuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wifl ensure that it remains above the finished
--.. . _ Ref 63�,-7,�5,.t3��.) .__
.. . - -- � _ ..
.._ . . ___.__. ._:.,:g�ade of ttre lan�i ar prop�rty. � _.. _ - -.--- _. __._ _..__ _ _._. _.... ._..