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Request Number: 6762
Public Works Division
Service Request
Problem A�ddress: 870 Pandora Dr Requested By: Roger Stene
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-6425
Scheduled Date: 2013-08-22 Scheduled Time: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy FGatt Date Created: 2013-08-19
ACTION TAKEN: v �!
�d meter#96784234 Old reading: 2204140 New meter#44921367 ERT#3 191765
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&22 Completed by: Pete Gunderson
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Request Number: 6762
Public Works Division
Service Request
Problem Address: 870 Pandora Dr • Requested By: Roger Stene
Department: WATER Address: No address provided
Problemlissue: INSTALL METER(WATER) Phone Number: 571-6425
Schedule Date: 2013-08-22 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compkted by:
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Hiatt, Wendy
Subject: Roger Stene 763-571-6425 AMR change out �
Location: 870 Pandora Dr NE
Start: Thu 8/22/2013 1:00 PM
End: Thu 8/22/2013 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
1
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
{763)572-3566
��We hereby authorize the City of Fridley and/or iis
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liabie for the water line ftom the main to the premise and all interior plumbing. (Per�ty code
402.06) i also hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,floors or the curb
stop box and service fine. i undeirstand t am aiso required to obtain a permit prior to any work,if
necessary.
m ter readin oid meter � �
Final e �( ) .
Name�
Address•_����� -
Phone Number._ Dat �,
Signature• v �'
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156,1191)
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402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer tine connecting the existir►g municipal system and any house �
or building for which the application ismade,the owner or contractor shall be required to obtain a permit for such -
connection,and shall pay a pecmit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Depa�tment shail be notified. It shall be unlawfui to cover any connecting line until an
inspection 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 CONNECTION
After the initial connection has been made to the water service curb stop bax or the sewer lead at the properly
- line or a water service or sewer lead has been extended to the property line for connection,the applicar�,o�rner,
` or the occupant or user of such premises shall be liable for ail repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propetty 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 necessery street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the appiicant,owner,occupant or user to perform standard maintenance of
� the sewer service tine from the premises to the main including debris clearing a�root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)