Meter Swap ' � �'r 7����jli l�%
'� ��"��� INSTALLATION
��.�� AUTOMATIC METER READER
FRIDLEY
Address � � �����
Name I...t�-�Q'�/ �F���
Date b���'—��.
Old Meter Number aaz�
Old Meter Readin ( � �
Replacement No. - S
Replacement Reading �
Replacement Make�
ERT# ���� �C� Ir�
Replacement ERT#
Remarks:
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- City of Fridley
Water Department
b431 University Avenue NE
Fridley, MN 55432
(763)572-3566
!/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumhing. (Per City code
402.06) I also hold the City af Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,flaors or the curb
� stop box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary. L �
Final meter reading(oid meter) � � ` l �/ 'li��
Name: Address: '�✓��F �"(�G~
te: '�'"�`3`�a
Phone Number• �
Signatur �
. Witness Signature:,���� c
FRIDLEY CIT1(CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144�1156, 1191}
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat system and an}I house
or huilding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and sha((pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE 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 ta 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(ine and sewer lines
necessary for connection of the prernises from the main ta the premises. If the property owner requests
maintenance service or repairs 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 annuaily by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises to the main inciuding debris ciearing 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 ar property. (Ref�638,1156,1191)
♦• M
Request Number: 11932
Public Works Division
Service Request
Problem Address: 6341 Quincy St Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Schedul ed Date: Schedul ed 1i me:
ACITON NEEDED:Final reading.Closi g 8/22/16 E T#33371019
Created by: Wendy Hiatt Date Created: 2016-08-29
ACTION TAI�N:
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_.....................................................r��._���... ..._._._..._�....��.._....�..�_.__.�._......._`........._.........................._......................._............................................................._..................... _.
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..........................................................................................................................................................................................._.___..........................._........................_..................................................................................._.........._......_..........._....._._.._...._......_.
Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
�,-�t- 1�
� l
Hiatt, Wendy
From: Johnson, Susan E.
Sent: Monday, August 29, 2016 2:09 PM
To: Hiatt, Wendy
Subject: 6341 Quincy St NE-Final meter reading
Hi Wendy,
A request for a final meter reading:
6341 Quincy St NE
Ert#33371019
Closing date:8/22/16
Thanks,
Sue�wwhnoan
City of Fridley
Utility Billing
763-572-3529
My office hours:
Tuesday-Friday
9:OOam -3:OOpm
1