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Request Number: 6724
Public Works Division
Service Request
Problem Address: 830 Pandora Dr Requested By: Widiam Dircks
Department: WATER A�ddress: No address{xovided
Problemlissue: INSTALL METER Phone Number: 763-694-9176
Scheduled pate: 2013-08-26 Scheduled Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
. �ACTION TAKEN.
01d meter#88200237 Old reading: 2405280 New meter#44922496 ERT#35191759
Status: Completed Resident Contacted O
Date Completed: 2013-08-26 Completed by: Pe�Gunderson
Hours
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Request Number: 6724
Public Works Division
Service Request
Problem Address: 830 Pandora Dr Requested By: W illiam.Dircks
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-694-9176
Scheduled Date: 2013-08-26 Scheduled Time: 10:00:00
. � . ' ' 'V � �r � ',
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&15
ACTION TAKEN:
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Status: In Prcx,�ress Resident Contacted �
Date Completed: Completed by: �
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Hiatt, Wendy
Subject: Wiliiam Dircks, 763-694-9176, AMR @ 10:00 AM
Location: 830 Pandora Dr
Start: Mon 8/26J2013 10:00 AM
End: Mon 8/26/2013 10:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
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. City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
t/we hereby authorize the City of�ridley andior i#s
employees to do what is necessary to replace the water meter. I understand that the propertY owner
is liable for the water fine from the main ta the premise and alf interior plumbing. (Per�ity cade
402.06J 1 atso hold the City af 6ridtey and/its emplayees harmless fo�any damages that may occur
while doing#his operation. 7his to include,but not timited to;valves,piping,wa�ts.flaars ar the curb
stop box and service line. I understand{am aisa required to o6tain a permit prior ta any work,if
necessary.
- � �� � � � �
fina!meter reading(old meter)
Name� Address:
. Date: � f�� � `-�
Phone- ber: �
5ignature• �� ._,
Witness Signatuce:
FRIDLEY GTY CQDE
CHAPTER A02.WAl'ER,STORM WATEa�AND SANtTARY SEWER
ADMiNlS7RATICII� .
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.05. PERMfT FEE
, Prior to constructing or repeir of any water or sewer tine conne acto shafl he equ red olobta n a permit fo6 such
or building for which the appltcation is made,the owner ar conir
conRection,and shaU pay a permit fee as provided in Chapter 11 af this Code. After such cannection has been
macle,the 1Nater and Sewer Department shait be rtotified. It shalt be uniawful to cover any connecting line until an
inspection has heen made and such cannection and the wark incident thereto has been appraved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAiNTENANCE TO CI�NNECTION
After the initial cannection has been made ta the water service cur estvp`np{o�connect on'the appl cant owner,
Iine or a water service ar sewer tead has been extended to the prop rty
or the occupant or user of such premises shafl be fiable far a4{repairs required to any water tine and sewer lines
necessary far connection af the premises from the main to the premis owner shail be charg d for he custs of the
maintenance s�rvice or repairs be performed by the City,the property an administrative
maintenance and/or r�pairs, inctuding any necessary street�epairs,at a rate set annually by.
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
- the sewer service{ine from the premises to the main incfuding dehris clearing or root cutting and ta maintain the
water service curb stop bax for operabitity and at such height as will ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191�