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Request Number: 6649
Public Works Division
Service Request
Problem Address: 981 Pandora Dr Requested By: Ruth Yahanda
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-1265
Scheduled Date: 2013-0&15 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
/
ACTION TAKEN: �� ✓
Old meter#95118514 Old reading: 1774100 New meter#44921286 ERT#35172436
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&15 Completed by: Pete Gunderson
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Request Number: 6649
Public Works Division
Service Req�st
Probtem Address: 981 Pandora Dr Requested By: Ruth Yahanda
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-1265
Scheduled D e: 2013-08-15 Scheduled Time: 09:00:00
1
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTION TAKEN:
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Status: In Progress Resident Corrtacted ❑
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-356b
'��e hereby authorize the City of Fridfey and/or its
employees to do what is necessary to replace the water meter. 1 understand that the propertY owner
is liable for the water line from the main to the p�emise and all interior plumbing. �Per City code
402.06j 1 also 6ald the City of Fridley and/its employees harmiess for any damages that may accur
while daing#his operation. This to include,hut not limited to;valves,p
iping,walis,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
, necessary. �
�inal meter reading(old meter) 1�� ° �� �'
Name•
Address: � ' �
Phone Number• Date: (�� � l�
. ��
Signature• ,�� c/• r .
Witness Signature:
FRIDLEY CITY CaDE
CHAPTER 402.WATER,STORM WATER,AND SANITARYSEWER
ADMINISTRATIDN
(Ref Ord Plo 113,464,565,566,fi29,638,662,922,988.1544,1156,1191)
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any hause
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 Cade. After such cannection has been
made,the VVater and Sewer Department shall be notified. It shalt be unlawfu!to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE 7"0 CONNECTION
After the initial connection has been made to the water service curb stap box or the sewer(ead at t i�n�OW er,
line or a water service or sewer lead has been extended to the property line for connection,the app'
or the occupant or user of such premises shall be liable for ali�epairs required to any water line and sewer lines
netessary for connection of the premises f�om the main to the premises. if the property owner requests
maintenance service or repai�s be performed 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
po[icy. tt shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including dehris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,115fi,1191�