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Request Number: 6768
Public Works Division
Service Request
Problem Address: 950 Pandora Dr Requested By: Linda Bechtol
Department: WATER Address: No address provided
ProblerNlssue: INSTALL METER Phone Nurnber. 763-238-9514
Scheduled Date: 2013-0&22 Scheduled Time: 08:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&20
ACTION TAKEN: � .
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Old meter#17 l87 Old readi 97 0 New meter#44921334 ERT#35 72433
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&22 Completed by: Pete Gunderson
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Request Number: 6768
Public Works Division
Service Request
Problem Address: 950 Pandora Dr Requested By: Linda Bechtol
Department: WATER Address: No address provided
Problemlissue: INSTALL METER(WATER} Phone Number: 763-238-9514
Sche ted Date: 2013-08-22 Scheduled Time: 08:30:00
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ACTION NEEDED: 2013 A
Created by: Wendy Hiatt Date Created: 2013-08-20
° ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. !understand that the property owner
is liable for the water line ftom the main to the premise and all interior plumbing. (Per City code
4Q2.06) 1 also hold the City of Fridley and/its employees harmless for arty dannages that ma.y occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,floors or the curb
stop box and service iine. t understand I am also repuired to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter) / � ���
Name• dress• �� 1 �'`�-'�
Phone Number• � a e� d```
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Signature• ��
Witness Signature:
�RIDLEY CITY C�DE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,56b,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system 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 of this Code. After such connection has been
made,the Water and 5ewer Department shati be notified. It shall be unlawful to cover any conneeting 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. REPQlRS AND MAINTENANCE TO CONNECTtON
After the initial connection has been made to the water service cu�b stop bax 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 liable for afl 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 perfarmed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shail be the respons+bility of the appiicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will en5ure that it rema+ns above the finished
grade of the land o�property. (Ref 638,1156,1191j
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