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Request Number: 6654
Public Works Division
Service Request
Problem A�ddress: 731 Pandora Dr Requested By: Hanz&Sharon Werner
Department: WATER Address: No address provided
Problemllssue: INSTAIL METER Phone Number: 571-4564
Scheduled Date: 2013-0&12 Scheduled Time: • 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN: � �
Old meter#18423281 Old reading 117 90 Ne�►►�#S�ne ERT#35191467
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Status: Completed Resident Contacted �
Date Completed: 2013-08-12 Completed by: Pete Gunderson
Hours
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Request Number: 6654
Public Worl�s Division
Service Request
Problem Acldress: 731 Pandora Dr Requested By: Hanz&Sharon Werner
Department: WATER Address: No address provided
Problemflssue: INSTALL METER(WATER} Phone Nurr�ber: 571-4564
Scheduled Date: 2013-0&12 Scheciuled Time: 02:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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Hiatt,�Wendy
Subject: Hanz&Sharon Werner, 763-571-4564, AMR @ 2:00 PM
Location: 731 Pandora Dr NE
Start: Mon 8/12/2013 2:00 PM
End: Mon 8/12l2013 2:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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- City of Fridley
Water Department
6431 University Avenue NE
__ __ Fridley,MN 55432
(763)572-3566
��wg fiereby 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
is liable far the water tine ftom the main to the premise and all interior plumbing. (Per City cade
402.06) I a(so hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this aperafion. This to include,but not iimited to;vaives,piping►walls,floars or the curb
stop box and service line. 1 under�tand i am also required to obtain a permit priar to any work,if
necessary.
Final meter reading(old meter) � �� ���
Name�
Address:_� ' �
Phone Number: Date:�—�� ��
Signature: '«�
Witness Signature:
FRIDLEIf.CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144. 1156,1191) _
402.05. PERMIT FEE
4rior to constructing or repair of any water or sewrer line connecting the existing municipal system and any house �
or building for which the appiication is made,the owne�or contractor shall be required to obtain a permit for suth
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the VVater and Sewer Department shall be natified. It shalt be unlawful to cover any connecting line until an
inspettion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECl'ION
After the initial connection has been made to the water service curb stop bax or the sewer lead at the property
line or a water service or 5ewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be fiable far ail�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. lf the property o�+ner requests
maintenance serv9ce or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly 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 including dehris clearing or root cutting and to maintain the
water service curb stop bax for operabi{ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 635,1156,1191}