Meter Swap CYCLE 2 ROUTE Cycle
LMR METER NUMBER ACC�T NUMBER SEQUENCf�#
4032660 77335733 210-475010-01 16660
� '�` P-.�-�..� ��- j 3nl r �. - �
WA7ER METER READING DATE READ
� t; � -'- ��'� ��- �-�77 � 1�
ENTER ALL NUMBERS INCLUDING ZEROES
FROM PATRICIA FREEBUftG
5557 E DANUBE RD
FRIDLEY, MN 55432-5910
SERVICE ADDRESS: 5557 E EAST DANUBE RD NE
RESPOND BY: 01/12/201?
�:� �-- ' `y'�' ., NO POSTAGE
��>�:;�; �`.�;:;; NECESSARY .
�. i«c���s IFMAILED
, .,� ,.....4 ._..—,.^��b, IN THE
�'s^i :,� s.
UNITED STATES
BUSINESS REPLY MAIL
FIRST-CLASS MAIL PERMIT N0.13637 MINNEAPOLIS,MN
POSTAGE NALL BE PAID BY ADDRESSEE
CITY OF FRIDLEY
UTILITY BILLING
6431 UNIVERSITY AVE NE
FRIDLEY MN 55432-9989
I�I�IN��H������I.1l�1����1��'�Uy1�11�.��1��I,P�t�1����1111�.
� � Request Number: 12616
Public Works Division
Service Request
Problem Address: 5557 E Danube Rd Requested By: Pa�riciaFreebiug
Department: WA1ER Address: No ad�ess provided
Problem/lasue: INSTALL AMR METER PLone Number: 571-6041
SehedNed D�te: ,2016-12-3Q ScLeBoled Tlme: Ol:30:00
, � - �� ��C�
ACTION NEEDED:Ch�e stopped�tet.Itsstatl AMR
Created by: Wcndy Hiatt Date Cre�d: 2016-12-28
AC'IION TAKEN:
�S�-wV�,e(�i� �k'�'��--
St�us: Tn Progress Snbmitter Has Beee r
Coutsictod
Date Compteted: �� — �� � �� Completed by: J�'.`�"'""""""�,,
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�
Hiatt, Wendy
Subject: ` Patricia Freeburg 763-571-6041 install AMR for stopped old water meter
Location: 5557 E Danube Rd
Start: Fri 12/30/2016 1:30 PM
End: Fri 12J30/2016 2:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
.1,.�<J'� .
1 .'a.,
� ,,:
City of Fridiey �('J� �'�'�
Water Departm�nt .s-� ,,,�L���U�v ���
6431 UniversityAvenue NE `�`��
Fridiey, MN 55432
• 763-572-3566
i/we hereby authorize the City of Fridley and/or its empioyees ta do what is necessary to
replate the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to inciude,but not limfted to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permrt prior to arry work,if necessary.
FINAL METER READINCa(old meter) � v ✓�� '""�
Name: �Gl �'1r1,�L� �°P ' Address J � �� � ��u�L° 1�$
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) (�� !1(._j q C>�'
Phone Number �� I '" "`V ` p�e l�r � L�
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,�"G'VL/ti� �--�-(n. � ���`` `l\
�Signature_ J�"`^'�; Witness Signature
OLD METER# � � 3 � � ���
OLD READtNG � � � ��� � 'S �
�-a�
NEW METER# �� I � � �� �
NEW READING d
ERT# � �� � a � I � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or building for which the
application is made,the owner or coMractor shaU 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 Oepartment shall be�otFf'ied. !t shalt be unlawful to cover
a�y connecting line until an inspedion has been made and such connectio�and the work incident thereto has been appcoved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the init+al connection has been made to the waier service curb stop box or the sewer lead at the property line or a water service lead has
been extended to Che property fine for connection,the appficant,owner,or occupaM or user of such premises shali be liable for all repairs
required to any water line and sewes lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,tfie property owner shali be charged fior the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set anaua{{y by an administrative poliry. It shait be the responsibitity of the appliraM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main intluding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure tfiat it remains above the�nisfied
grade of the land or property. (Ref 638,1156,1191)