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Meter Swap � ��-�1``( INSTALLA ON ��.�'��' ' v.��. AUTOMATIC METER READER FRIDLEY Address 1("J�� p r V'�`--��`�' Name ��7 ��y Date �_ � "t` �� Old Meter Number �� Old Meter Readin � �� Replacement No. �� Replacement Reading � Replacement Make ��9� ERT# �3�l.J�?Jd�, V Replacement ERT# Remarks: S�,{q� Siqned: � � F��t f�rr�ervic� R�p�rrr� �i�y af �rhd�:y �: �t-�Z.aa� t�: �rzot2 �Tj�P'e� ��r 8y: � ��t: Wa� �r��: �an S� Aid�: 6�'1 MA�I�D�I ST�IE P�►e: �71-7�4 �d[l�e: �fl�/�'D12 9�It!JI�1`�, , F�vopeity t�wr�es� 1 V . �ieqt�rat t�a�s: 11� � �___� .__,.�_ ___._�. .__._� � R�n Tat�= , �Id M+�#�r# `� y J 4� �� +C�Id r�ading� `�J��3� w7� �� ► �� 3�°� aaon � �� , � �� `�3`� l��`� � � � �� . � ��.'� �---------_____. _...��,,�_ ___ ----- � � , �a �_� __..__� ________.___�.___� _._ ► � ee_�._....�-��— � _ Hiatt, Wendy From: Hara, Sandra Sent: Tuesday, May 08, 2012 8:29 AM To: Hiatt, Wendy Subject: AMR appt Hi I talked to a guy Ron Seekamp from 6371 Madison St NE to schedule his AMR appt for Tuesday May 15th at 9am. It's on the calendar already and his phone # is 763-571- 7824. Sandi � City of Fridley Water Department 6431 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 ali interior plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmiess 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 aiso required to abtain a permit prior to any work,if necessary. Finai meter reading(old meter) `J� `� `�� Name� � . Address• b�� ` �"'�''�� Phone Number:��-��'4 Date: �—( �—�� Signature:�/^!sa,.''—�� Q ..d--`�,'C"'„''� . Witness Signature: f�� FRIDLEY CITY 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. PERM17 FEE Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any 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 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 untii 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. 4U2.06. 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 necessary for connection of the premises f�om the main to 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/ar 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 or 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 grade of the land or property. (Ref 638,1156,1191) , R�que�� f�r�r� R� ` �i�yy a�f Fr�di� � �ka: Git�-12-4�,58 �e: 61�1l�1z 1�T�e� Ir�a!�ME�� 8y: W�� . W,� Ci�zen t�e: F'aE K�€ /liddress= 6�0 M1ii�f9iDN�7"!!E Ca�adc _ 7�#a�i7�1-�/ Sc�dried�e: 6fl41�72"77EID J4ii� {�:: �tkt�: ��= � Ta�� t�l+d �llet�r # � a,�� c��,� ��: ��,c��a E�o . .��► �� -� a��w R�ading: � EF�T# �`'J�3Q �a i I � � � i � _ ; � ._ ..._...._.-----------... ___.� � ..�...___......_...._______.�_.___.._______--- �= ' � , �_�m__. �________...._...�______ _______ ._ ________._... __,_____ - �: �-- � �� , _ wa . � ___ ________ � r ' City of Fridley Water Department 6431 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 plumbing. (Per City code 402.06} i also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this operation. This to include,6ut not limited to;valves,piping,walls,floors or the curb � stop box and service line. I understand I am also required to obtain a permit prior ta any work,if necessary. Finai meter reading(old meter} ` � v � � �� Name: Address•_�J� `�'"— Phone Num r: Date: �—��—' • Signature: ` � Witness Signature: FRIDLEY CtTY 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 municipal system and any house or building for which the application is made,the owner or contrador shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been -1 made,the Water and Sewer Department shall be notified. lt shall be unlawful to cover any connecting line until an inspection has heen made and such connection and the work incident thereto has been approved by the City as a proper and suitable connectian. 4�2.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer iead 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 for connection of the prernises from the main to 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 st�eet repairs,at a rate set annually by an administrative policy. 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 grade of the land or property. (Ref 638,1156,1191)