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Request Number: 6712
Public Works Division
Service Request
Problem Address: 820 Pandora Dr Requested By: Harvey Cain
Department: WATER Addreas: No address provided
Problemlissue: INSTALL METER Phone Number. 571-1696
Scheduled Date: 2013-08-16 Scheduled Time: 08:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN: � �
Old meter#89267032 Old reading: 2082420 New meter#44921403 ERT# 5191474
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Status: Complefied Resident Contacted O
Date Completed: 2013-08-16 Completed by: Pete Gunderson
Hours
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Request Number: 6712
Public Works Division
� Service Request
Problem Address: $20 Pandora Dr Requested By: Harvey Cain
Department: WATER Address: No address provided
Problem/lssue: INSTALL METER(WATER) Phone Number: 571-1696
Scheduled Da : 2013-08-16 Scheduled Time: 08:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTtON TAKEN:
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Status: tn Progress Resident Contacted ❑
Date Completed: Compieted by:
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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 vf Fridiey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is(iabie far the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) I alsa hold the City of Fridley and/its employees harmless for any damages that may occur
while doiRg this ope�ation. This to include,but not limited to;valves,piping,walls,floars or the curb
stop box and service Ilne. i understand 1 am also required to obtain a permit prior ta any work,if
necessary. ���
Final meter reading(old meter) (,/`��
Name�
Address• ����`��
Phone Number: Date: � ��r_ , �
Signature• �
Witness Signature:
FRIaIEY CITY CODE
CHAPTER�t02.WATER,STORM WATER,ANO SQNtTARY SEWER
ADMINI5TRATI�N
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191} -
402.05. PERMIT FEE
Priar to construcfing or repair of any water or sewer line connecting the existing municipal system and any house
or building:for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. ft shai!be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved 6y the City as a
propec and suitable connedion.
402.D6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stap box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,awner,
or the occupant or user af such premises shall be liabie for ail�epairs required to any water line and sewer lines
necessary for connection ot the premises from the main to the premises. If the property owner requests
maintenance service or repairs be perfarmed 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 annually byan adminisCrative
policy. It shall be the responsibiliry of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris clearing or root cutting and to,maintain the
water service curb stop box for aperability and at such height as wili ensure that it remains above the finished
grade of the land or property. jRef 638,1156,1191)