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Request Number: 6726
Public Works Division
Service Request
Problem Address: 810 Pandora Dr Requested By: Ann Losness
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-6029
Scheduled Date: 2013-08-20 Scheduled Time: 10:30:00
ACTION MEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN: / � �
Old meter#32194764 Old reading: 256460 New meter#44921377 ERT#35191763
Status: Completed Resident Contacted 0
Date Completed: 2013-0&20 Compieted by: Pete Gunderson
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Request Number: 6726
Public Works Division
Service Request
Problem Address: 810 Pandora Dr Requested By: Ann Losness
Department: WAIER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-6029
Scheduled Date: 2013-0&20 Scheduled Time: 10:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
_ Date Completed: Compi¢ted b •
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HiaEt, 'iNendy
Subject: Ann Losness, 763-571-6029, AMR @ 10:30 AM
Location: 810 Pandora Dr
Start: Tue 8/20/2013 10:30 AM
End: Tue 8/20/2013 11:00 AM
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
I/we hereby authorize the City of Fridley and/ar its owner
employees to do what is necessary to replace the water meter. 1 understand that the property
is liable for the water line from the main to the premise and ali interiorn��am'a es that may occur
402.06) i also hold the City af Fridley and/its employees harmless for a y g
while doing this operation. This to include,6ut not limited too�v�aa�•pe m t'p oCsto�ny wo k if �
stap box and senrice line. I understand i am also required to
necessary. � j �
Final meter reading(old meterj
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Address �� ��
Name� � �
, Date: r �l
Phone Number:
Signature: `�'
Witness Signature:
FRIDLEY CITY COQE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566r 629,638,662,922,988,1544,1156,1191}
402.05. PERMIT FEE .
Prior to constructing or repair of any water or sewer fine connecting th�ii 6e�emu�edto'obt n a permit for such
or building for which the application is made,the owner or contractor s q
connection,and shall pay a permit fee as hall be n t fed.tit shait be unlawful to cover any conne'cti g lineeuntii an
made,the 1Nater and Sewer Department s
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectivn.
402.�6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cur QrtaP'n�°forrconnect onl the appl cant owner,
line or a water service or sewer lead has been extended to the prop Y
or the occupant or user of such premises shail be liable far all�epairs required to any wato�ner reduests r��nes
necessary for connection of the premises fram the main to the premis o��ner shall be harged for t e costs of the
maintenance service or repairs be performed by the City,the properlY an administrative
maintenance and/or repai�s, including any necessary street repairs,at a rate set annuaily by.
poticy. It shall be the responsibility of the applicant,o��udinC debr s lear ng orr oot cutti g and to ma ntain thef
• the sewer service line from the premises to the main in g
water service curb stop bax for operability and atgi ch height as will ensure that it remains above the finished
grade of the land or property (Ref 638,1156,11 )