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Request Number: 6713
Public Works Division
Service Request
Problem Address: 990 Pandora Dr Requested By: Ronald Nisbet
Departrr�ent: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-7828
Scheduled Date: 2013-0&16 Scheduled Time: 10:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN: ��
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Old meter#86445888 Old reading:1745900 New meter#44921293 ERT#35191324
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Status: Completed Resident Contacted �
Date Completed: 2013-08-16 Compieted by: Pete Gunderson
Hours
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Request Number: 6713
Public Works Division
Service Request
Problem l�ddress: 990 Pandora Dr Requested By: Rona(d Nisbet
Department: WATER Address: No address provided
Problemllssue: INSTALL MEIER(WATER} Phone Number: 571-7828
Scheduled Date��l�013-08-16 _ Scheduled Time: 10:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&15 �
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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� . City of Fridley
Water Department
6431 University Avenue NE
- Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of�ridfey and/or its
employees to do what is necessary to reptace the water meter. 1 understand that thP pC� deWner
is liable for the water line from the main to the premise and all interior plumbing. (
402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this ope�ation. This to include,but not limited to;6ta'n a perm t/pr or ta any wark i{�rb
stop box and service tine. 1 understand 1 am atso required to o P
necessary. . � � ��
Fina!meter reading{old meter) �
Name•
Address: ��
Phone Number• Date: ��`�^l�
t �
Signature:
Witness Signature:
�RIDLEY CITY'C�DE
CHAPTER 402.WATER,STORM WATER,AND 5ANiTARY SEWER
ADMINISTRATIC)N
(Ref Ord No 113,464,565,566r 629,638,662,922,988,fi144,1156,1191) - _
402.05. PERMI7 FEE
Prior to constructing or repair of any water or sewer line connecti�a shall ben equ redto'obt in a permrt fo�such
or building far which the application is made,the owner or contra
connection,and shail pay a permit f�ent shall be n t fi d tlt sha(I be u lawfu!to cover any conne'cti g lineeunti!an
made,the 1Nater and Sewer Depart
inspectian has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable cannectian.
4Q2.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb s�aPfne for conne ti on'the appl cant owner,
{ine or a water service or 5ewer lead has been extended to the pr�perty
or the occupant or user af such premises shatl be tiable for ail repairs required to any wate��ner reduests r��nes
necessary for connection af the premises fram the main to the premises. if the property q
maintenance service or repairs be performed by ts e���`e t repa'►�rs,at awate et a'nua!byan admi i trat vethe
maintenance and/or repairs, including any neces ry
policy. It shalf be the responsibility of the applicantn cluding d br s learing orpoot utti g and to mai tain thef
• the sewer service line from the premfses to the mat
water service curb stop box for operability and 1gi ch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1 )