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Request Number: 6677
Public Works Division
Service Request
Problem A�ddress: 871 Pandora Dr Requested By: Ow�en Dupri
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL METER Phone Number: 763-786-0280
Scheduled Date: 2013-0&15 Scheduled Time: 07:30:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&12
ACTION TAKEN:
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Old meter#15032564 Old reading: 616850 New meter#44921408 ERT#35191447
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Status: Comp�ted Resident Contacted O ,
Date Completed: 2013-0&15 Completed by: Pete Gunderson
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Req uest N u m ber: 6677
Public Works Division
Service Request
Problem Address: 871 Pandora Dr Requested By: Ow�en Dupri
Department: WATER Address: No address provided
Prob�mllssue: INSTALL METER(WATER) Phone Number: 763-786-0280
Scheduled Date: 2013-0&15 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-OS-12
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wer�cly
Subject: Owen Dupre, 763-786-0280, AMR @ 7:30 AM
Location: 871 Pandora Dr
Start: Thu 8/15/2013 7:30 AM
End: Thu 8/15/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy �
1
- City nf fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and a!I interior piumbing. (Per City code
402.06j I atso hold the City vf Fridley andJits employees harmless for any damages that may occur
white doing this operation. This to include,hut not limited to;valves,piping,walis,floors ar tf�e curb
stop bax and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary. �,
Fina!meter reading(old meter) � � � � ��
Name� Address� ��� � ��`���C�
Phone Number Date• C-����A��
Signature• ���"'`^� �`^�""'—��---
Witness Signatare:
FRIDLEY CITY C4DE
CHAPTER 402.WATER,STORM WATER,ANO SANiTARY SEWER
ADMINlSTRATit)N
(Ref Ord No 113,4fi4,565,566,6�9,638,662,922,988,1144,1156,1191}
402.05. PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipai system and any house
or buildEng for which the appiicatian is made,the owner or contractor shall be required to obtain a permit for such
connection,and sha!!pay a permit fee as provided in Chapter 11 of this Cnde. After such connection has been
made,the Water and Sewer Department shalt be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such cannection and the wo�k 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 box or the sewer lead at the property
line or a water service or sewer lead has be�n extended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shai!be liable for ati repairs required to any water line and sewer lines
necessary for connectian of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy by an administrative
policy. It shall be the responsibiiity of the applicant,owaer,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris cle�ring or raot cutting and to maintain the
water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)