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U.n,o� AUTOMATIC METER READER
FRIDLEY
Address tL��-f �-���
Name ���'Q�S�4� l�Uc��
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Date � �
Old Meter Number �� �
Old Meter Reading v v�
Replacement Na �
Replacement Reading �
Replacement Make �
ERT# ��`7����V
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
1/we hereby authorize the City of Fridtey 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 fram the main to the premise and all interior plumbing. (Per City code
402.06} 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand 1 am also requ'rred to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter)
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Name: Address: ' 1 ` ��----
Phone Number: Date: �c:/- ��—l�
Signature:
. Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464r 565,566,629,638,662,922,488,1144, 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 6uilding 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 Sewer Departrnent shall be notified. It shall be unlawful to cover any connecting Ilne until an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connectian.
4U2A6. REPAIRS AND MAINTENANC�TO CONNECTION
After the initial connection has been made to the water service curb stop box 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 all�epairs required to any water line and sewer lines
necessary far connection af the premises from the main to the premises. If the praperty owner requests '
maintenance service or repairs he perforrned 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
poticy. It shall be the responsibility of the applicant,owner,occupant ar 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 ensure that it remains above the finished
g�ade of the land or property. (Ref 638,1156,1191)
t • .
Request Number: 6086
Public Works Division
Service Request
Problem Address: 6444 Baker Av�e. NE Requested By: Sandy Hara
Department: WAIER Address: �Baker A�e. NE
Fridley, MN 55432
ProbierNlssue: READ METER(WATER) Phone Number:
Scheduled Date: 2013-05-01 Scheduled Time:
ACTION NEEDED: Final Meter Reading:Anytime isfine
Created by: Jeannie Benson Date Created: 2013-05-01
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compteted by:
�.� 13 �
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Request Number: 6966
Public Works Division
Service Request
Problem Address: 6444 Baker Ave Requested By: Sandi Hara
Department: WATER Address: No address provided
Problemlissue: READ ME7ER(WATER) Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Finai reading• losing was 9/11113 E T#34277410
Created by: Wendy Hiatt Date Created: 2013-09-13
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completeil by:
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Hiatt, W,+endy�
From: Hara, Sandra
Sent: Friday, September 13, 2013 9:33 AM
To: Hiatt, Wendy
Subject: Final AMR reading needed
Hi,
We have a property that closed 9j11/13 and need a�nal meter reading when the guys have time. The address is 6444
Baker Ave NE and the ERT#is 34277410. Thanks.
s���
City of Fridley
Utility Billing
763-572-3530
1