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. �, . Request Number: 66f0
Pubiic Works Divislon �
� Serviae Request �
� ProbtemAddress: 881 Pantbra Dr Requesfed By: Sa�y&Gera�KoskfMemt � �
Department: WATER � Address: ND address provided � }
Prohlendlssue: ItdSTALL ME'TER(WA1ER) Phone Number: 571-5Z74
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Schedul�d�Date: 2013-0�-16 Schedulaal Time: 02:3U:� ,
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ACTION NEEDED:2013 AMR � �
Craated by: Wendy liatt Uate Created: 2013-0&09
ACTION TAKEN: • . ' � I
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Status: � In Progress Resident Contacted � .
Date Corr�pleted: Ccrr�letect by:
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Request Number: 6660
Public Works Division
Service Request
Problem Address: 881 Pandora Dr Requested By: Sandy&Gerald Koskiniemi
Department: WATER Address: No address provided
Prablemllssue: INSTALL METER(WATER) Phone Number: 571-5274
Scheduled Date: 2013-09-16 Schedufed Time: 02:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Sandy(Gerald) Koskiniemi, 763-571-5274, AMR @ 2:30 PM
Location: 881 Pandora Dr NE
Start: Mon 9/16/2013 2:30 PM
End: Mon 9/16/2013 3:00 PM
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 th`u a°5��a that he pr perty owner
employees to do what is necessary to replace the water meter.
is liable far the water line from the main to the premise and all interior piumbing. (Per City code
402.06) i also hoid the City af Fridley and/its employees harmless for any'na�aaisr fl�rs or the curb
while doing this operation. This to include,but not limited to;vaives,pip' g.
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. ��� '
Final meter reading(old meter) ��: A -��v
7�N Z1!
Name: Address:
Date: � r�����
Phune Number: . .
Signature• � �-^�
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Witness Signature:
FRI�LEY CITY CODE
CHAPTER 402.WATER,5T8RM WATER,AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191) .
402.05. PERMIT FEE �
Prior to constructing or repair of any water or sewer line connec�a�o shall be equ redto4obtain a perm'�t fo�such
ar building for which the appl�cation is made,the owner o ter 11 of this Code. After such connection has been
connection,and shall pay a permit fee as provided in Chap
made,the Vllater and Sewer Department shall be rtotified. It shalt be uniawful to cove�anY�oved by he City as an
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water serv9ce cur6 rtaP'ne forrc nnec on'the ppl cant owner,
Eine or a water service or sewer lead has been extended to the prope y
or the occupant or user of such premises shall be liabie far ail�epairs required to any wate��ner requests r��nes
necessary for connection of the premises fram the main to the premise�s��ne shall be harged for the cnsts of the
maintenance service or repairs be performed by the City,the praperty an administrative
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.
policy. It shali be the respon5ibility of the applicant,nwnudinC debr s clear ng orpoot cutti g and to mai tain thef
• the sewer service line from the premises to the main incl g
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the tand or property. (Ref 538,1156,1191}