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Meter Swap '� ' �-�� Il `�s�=s,�t��z � �%' INSTALLATION ��.N� AUTOMATIC METER READER FRIDLEY Address ��'— � i)�Ctv�' Name �Ac�*'Q.\1� �t�IvPst-�Z Date ,;�� —l�X Old Meter Number � t� Oid Meter Reading ! Replacement No. �� Replacement Reading � Replacement Make ERT# �J��S Replacement ERT# Remarks: '?(oa-� Signed: F ' � F�eql�:St f+Df�e t�#:p�Dft Ci�y►t�f Frri�idl� ��. �t-�2-� ��: a.�r2��2 T�� ,�t� �y: �s� ��: w� ��: ��Z �: �t��vE� . �-��cx� , o�: �r��z»:�a� .�� c�: ��: ' � c��= � � _._. __ � � _� __._��__ ��_ ��id I'�et�r # q' ��j - � +�Id re�din�: [ � '�� a,�j(� � ��I+�w ��r# �� l�t+�w �te��iing: � � � E�T#` �� 05� ` �.�'� _, � � , . � � . .� � �#. � : �� ' � � ��►� :� �� ___.__--__ _-------�---_-�.�__ � �_ �. .� . , - :� .� - ; . .,� � __ _____ _._._ __._.._____ __ �. � ��- ��,� c��€�= � .�� . � � �`_�✓.._.._ _�.. _____. ;:, . Ci#y of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 1/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to repiace the water meter. I understand that the property owner is liabfe for the water line from the main to the premise and alf interior plumbin�. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb stop box and service iine. t understand t am also required to obtain a permit prior ta any work,if necessary. Final meter reading(old meter) � I �� "� Name: Address: U� { �" U ,,� /"s"� Phone Number: te: � \�� Signature: _ Wltness Signature: �� FRIDLEY CITY C4DE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINtSTRATIQN (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 municipal system and anq house 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 p�ovided in Chapter 11 ofi 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 to the property line for connection,the applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines �►ecessary for connection of the premises from the main to the premises. !f the property owner requests maintenance service ar repairs be performed by the City,the property owner shall be charged for the custs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annualty 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 including 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 or property. (Ref 638,1156, 1191� , • R�qt�st f+�c�erviEc�: Rep�a►rt +Ci#y�fi Friti�ey � f�: �Dt-t2 t}�: 2e"7t2t1�2 �T�pe� Y��t�iC ��!�v. t� . �iFat�r � Acld�ess� ',�+E�AVE� �Ptsaae: 5c��ed��ed[?ate: �� . iieq�ieat�: "�at�e�aain 8n�ic R�Ta�� t � �� , � ��t � _ �� 5 ! ��.L� �-� � ; � � � � � � 1 � � � f � �______ �_. ______. ______�__ _._ .___ _______.._ _�_w__.�____�____ _ � . _...________ __.._�_._. .___ _�_______.. � ��: ; ' � , # �_��__. ______ _...�._�..�_ _._�__,�____._________�_._.w_.� � � ; �.r _____ _�,..,_________�.___ __�___ _ .�._.___,.______�.__________.______� �: �� _�` ( �`_ � _�_�� . __.l �__ _..w_�� Fm:GSOC Locate Request (1 763571 91 78) 09:25 02107112GMT-05 Pg Oi-01 Gopher State One Call Locate Request . -—------'---------------------------------------------------------------- Ticket Number: 1243801t14 Old Ticket; By: 5AM N Source: VQICE Type; EMERGENCY Date: 2J7/2012 8:25:01 AM Send To: AutoFax Sequence: 1 Company Information ---------------------------------------------------------------------------- CITY OF FRIaLEY Type: GOVERNMENT 6431 UNIVERSITY AVE. FRIDLEY, MiV 55432 Ca11er: PHIL PERRON Ca11er Phone: (763} 238-SQ7� Contact. PHI� PERR(3N Corttact Phane: (7f3) 572-3566 Company Phone: (763) 57Z-3566 Corr�any Faar: (763} 571-4178 Company Email: work Information 5tate: I�k Work Date: Q2/07/2012 8:34:Q� AM Count}r: ANOKA Done For. CITY UF FRIDLEY Place: FRIDLEY Street: 524 63RD AYE NE Intersection: 7TH ST NE Type of Work: WATER PAAIN Explosives: Na TunnelfBore: No Right of Way: Yes Duration: 4 HOURS Remarks ---------------------------------------------------------------------------- CREW WILL BE DN SITE 2J7/2412 8.30:00 AM EMERGENCY REPAFR OF LdA7ER NFAfht BREAK MARK ENT2RE FR4NT IiALF CiF LOT TO OPPQSITE C!!RB Members ---------------------------------------------------------------------------- Code N�rrre Phane Mumtser CFRDLY�1 CITY CtF FRIDL€Y 7635723566 CdMCSTQ3 Ct�CAST (612) 5Z2-8I�1 MINGAtSd3 CENTER POIN'C EhEERGY 1-$OU-77&-9140 QLNMNI4 C�dEST (80Q) 283-4237 XCELQ8 XCE� ENERtsY 612630436b Locatian ---------------------------------------------------------------------------- Latitude: 45.E383U915049461 �ongitudes -43.2581592Q91214 second Latitude: 45.Q8(1034232Z219 5ecand �.ongitude: -93.25�7759�#92087 T30NR24qf53.4QSE T3UNR24W514QSYd Request Number: 10091 Public Works Division Service Request Problem Address: 524 63rd Ave Requested By: Sandi H Department: WATER Address: No address provided ProblemlIssue: FINAL METER READING Phone Nnmber: Scheduled Date: Scheduled TSme: ACTION NEEDED:Final reading.Clos' S/22/1 ERT#33302655 Created by: Wendy Hiatt Date Created: 2015-OS-18 ACTION TAI�N: .............:.c�.�....._.1.._7....:�.:3......................................................................................................._......._..._...................................................................................... ........._.._......._... , ..............................................................................................................................................................................................................................................................................................T_...............................__..__.........____............._._.........._....._..__.._ .................................................................................................................................................................................................................................................................................................................................._._..__.....__._.._........._..__.._....._............__... ......................................................_....................................................................................:........................................................................................................................_.........................._...................................._._............__._............__..._.._..................._..... Status: In Progcess Resident Contacted ❑ Date Completed: Completed by: � � � � 5=��`�5 _ ' � �nn Hiatt, Wendy From: • Hara, Sandra Sent: Monday, May 18, 2015 11:27 AM To: Hiatt, Wendy Subject: Final meter reading Hi We have a closing on 5/22/15 for 524 63�d Ave NE. The ERT#is 33302655 Thanks Sandi Hara City of Fridley Utility Billing 763-572-3530 1