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Request Number: 6727
Public Works Division
Service Request
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Problem A�ddress: 971 Pandora Dr Requested By: Ken rader � �
Department: WATER Address: No address provided
ProblerNlssue: INSTALL MEIER Phone Number: 612-708-0725
Scheduled Date: 2013-08-16 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN: ✓ ��
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Old meter#18124878 Old reading: 708480 New meter#44921291 ERT#35191504
Status: Corr�leted Resident Contacted �
Date Completed: 2013-08-16 Completed by: Pete Gunderson
Hours
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Request Number: 6727
Public Works Division
Service Request
Problem Address: 971 Pandora Dr Requested By: Ken Schrader
Department: WATER Address: No address provided
Problemllssue: INSTALL MElER(WATER) Phone Number: 612-708-0725
Scheduled e: 2013-08-16 Scheduled Time: 11:30:00
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ACTlON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-16
ACTlON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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_ City of Fridley
Water Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the City of Fridfey and/or its owner
employees ta do what is necessary to replace the water meter. I understand that the prop+ertY
is fiable for the water line frorn the main to the premise and all interior plumbing. (Per City cude
402.06) I atso hold the City of Fridley and/its emplayees harmless for any damages that may occur
while doing#his operation. This to include,but not limited to;valves,piping,v+►alls,floors or the curb
stop box and service line. 1 understand i am aiso required to obtain a permit prior to any work,if
necessary. ` ,
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Final meter reading(old meterj
Name�
Address•�_
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Phone Number� -"'r""-
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Signature:
Witness Signature:
FR@LEY GTY CODE
CHAPTER 4�2.WATER,ST�RM WA7Eii,AND SANITARY SEWER
ADMINI5TRATION
(Ref Ord No 1Z3,4G4,565,566,629,638,662,922,988,1144, 1156,1191) _
40Z.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line conne a�o shall he equ redtalabta n a permit for such
or building for which the application is made,the owner or cont
connection,and shatl pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be rtotified. It shalt be unlawful to cover any connecting line urttil an
inspection has beer+made and such connection and the work incider�t thereto has been approved by the City as a
proper and suitable connection.
402.I16.REPAIRS AND MAINTENANCE TO CONNECTION
Aiter the initial connection has been made to the water service curb�aP�e forrconnection'the ppl'icant owner,
line or a water service or sewer lead has been extended to the property i
or the occupant or user of such premises shal!be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises fram the main to the premis 4��nehshalt be charged for the costs af the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, incfuding any ne'can��wn�t 4 pupant or u er to perfo m standa d maintena'nce of
po(�cy. (t sF�aii be the responsibility of the appl ,
• the sewer service line from the premises to the main including dehris clearing or root cutting and to maintain the
water service curb stop bax for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1r56,1i91)