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Request Number: 6733
Public Works Division
Service Request
Problem Puddress: 920 Pandora Dr Requested By: Emilia Rousch
Department: WATER Address: No address provideci
Problemllssue: INSTALL METER Phone Number: 612-408-497
Scheduled Date: 2013-08-23 Scheduled Time: 10:30:OQ
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-16
ACTION TAKEN: � � �
Old meter#86814747 Old reading: 1443860 New meter#44921444 ERT#35191789
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Status: Completed Resident Contacted ❑
Date Corr�leted: 2013-0&23 Completed by: Pete Gunderson
Hours
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Request Number: 6733
Public Works Division
Service Request
Problem Add.ress: 920 Pandora Dr Requested By: Emilia Rousch
Department:`��='-�' WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 612-408-497
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Scheduled Dat : �2013-0 -23 � Scheduled Time: 10:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-16
ACTION TAKEN:
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Status: {n Progress Resident Contacted ❑
Date Completed: Completed by:
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� y - City af Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
[763)572-3566
��we hereby authorize the City of�ridley and/or its
employees to do what is necessary to replace the water meter. t understand that the property owner
is liable fer the water line from the main to the premise and atl interior plumbing. (Per City code
402.06) I atso hold the City af Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,`nralls,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. � L� � � � �O
Final meter reading(old meter)
Name-
Address:���� -
. Date: �Y �
Phone Number:
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Signature• -
Witne ignature:
FRIDLEY CITII'CODE
CHAPTER 402.WATER,STORM WATER,AND SAN(TARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.05. PERMIT FEE
Prior ta constructing or repair of any water ar sewer line connec�ing the existing municipal sysfiem and any house '
or building for which the application 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 ofthis Code. After such connection has been
made,the V1Jater and Sewer Department shall be notified. ft shalf be unlawful to covec any connecting line until an
inspectian has 6een 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 TQ CONNECTIQN
After the initial connectian has been made to the water service turb stop 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,owner,
or the occupant or user of such premises shall be fiabte for ail�epairs required to any water line and sewer lines
necessary fa�connection of the premises frarn ihe main to the premises. If the property awner requests
maintenance service or repairs be perFormed by the City,the property owner shafl be charged for the costs of the
maintenance andJor repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer servite line from the premises to the main including dehris dearing or root cutting and to maintain the
water service curb stap box for ope�ability and at 5uch height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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