Meter Swap �—�� �s-�J
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Request Number: 6658
Public Works Division
Service Request
Problem Address: 941 Pandora Dr Requested By: Julie Anderson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-300-7583
Scheduled Date: 2013-08-13 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN: �
Old meter#6741319 Old readin 10 40 New meter#44921040 ERT#35191182
Status: Completed Resident Contacted ❑
Date Completed: 2013-0&13 Completed by: Pete Gunderson
Hours
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Request Number: 6658
Public Works Division
Service Request
Prpblem Address: 941 Pandora Dr Requested By: Ju1ie Anderson
Department: WATER �uldress: No address provided
Problem/Issue; INSTALL METER(WATER) Phone Number. 763-300-7583
Scheduled Date: 2013-0&13 �-+ Scheduled Time: 07:00:00
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ACTION NEEDED: 2013 AMR
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Created by: Wendy Hiatt Date Created: 2013-08-08
_ ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��w� hereby authorize the City of Fridley and/or its
employees to da what is necessary to replace the water meter. 1 understand that the property owner
is liabte for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also 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;vaives�piping,walis,floars or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �
Fina(meter reading(oid meterj � � �
Name�
Address 1___r__� �
Phone Numb : Date: �� �����
5ignatare:
Witness Signature: �
FRIDLEY CiTY CODE
CHAPTER 4�2.WA'FER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1�144, 1156,1191)
40Z.a5. PERMIT FEE
Prior to constructing or repair of any water or sewer line canne�ting tF�e existing municipai system and any house
or building for which the application is made,the owner or contrador shall 6e 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 V1later and Sewer Department shail be notified. It shalt be unlawful to cover any connecting(ine until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitabie connection.
402.06.REPAIRS AND MA{NTENANCE TO CONNECTtON
After the initial connection has been made to the water service curb stap box or the sewer lead at the property
line or a water service or 5ewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable far all�epairs required to any water line and sewer lines
necessary for connection of tF�e premises from ihe main ta the premises. if the property owner requests
maintenance service or repairs be performed by the City,the propertY owner shall be charged for the custs of the
maintenance and/or repairs, includirtg any necessary street repairs,at a rate set annually by an administrative
po(icy. It shall be the responsibil'�ty of the applicant,owner,occupant or user ta perform standard maintenance af
• the sewer service line from the premises to the main including dehris clearing or root cutting and to mai�tatn the
water service curb stop bax for operability and at�uch height as will ensure that it remains above th��ished
grade of the land or property. (Ref 638,1156,1191} F
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� Request Number: 9957
Public Works Division
Service Request
Problem Address: 941 Pandora Dr Requested By: Julie Anderson
Department: WATER Address: No address provided
ProblemJIssue: O'THER Phone Number: 763-300-7583
5cheduled Date: 2015-04-13 5cheduled Time: 07:30:00
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ACTION NEEDED:Meter was changed 8-13-13 and nowhomeowner now has a leaky val�.Jim Kosluchar wnuld like
for Pete to check it.
Created by: Wendy Hiatt D eated: 2015-04-09
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ACTION TAI�N: �
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Status: In Progress Resident Gontacted
Date Completed: Completed by:
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