Meter Swap � ��'�� INSTALLATION���U
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��.n,�. AUTOMATIC METER READER
FRIDLEY
Address ��1� ���t����
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Name ��C�� ��'CZL�'�.�
Date �)"`c7� ��`l�
Old Meter Number � `5,��
OId Meter Readin i � �
Replacement Na �_ �2�a5 �3�
Replacement Reading ��
Replacement Make ��.
ERT# � !,`,�C�� �� �
Replacement ERT#
Remarks:
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- City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley 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 from the main to the premise and all interior plumbing. (Per City code
40Z.06) I a(so hoid the City of Fridley and/its employees harmiess for any damages that may occur
while daing this operation. This to include,but nat limited to;valves.piping,walis,floars or the curb
� stop box and senrice tine. I understand!am also required to obtain a permit prior ta any work,if
necessary.
. l � � `7 __ �
Final meter readin�(old meter)
Name: Address: V/ l�x� ��C�''�''"�
Phone Number: qate: 4,'��— l� . '
Signature: x�%�W'Oh�'�
. Witness 5ignature:
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6�9,638,662,922,988,1144,1156, 1191)
402A5. PERMtT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or 6uildi�g for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shell pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and 5ewer Department shall be notified. lt 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.
4Q2,06. REPAIRS AND MAtNTENANCE TO CaNNECTI�N
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 appiicant,owner,
or the occupant or user of such premises shal{be{iable for a11�epairs required ta any water line and sewer tines
necessary for connection of the prernises from the main to the premises. If the property owner requests
maintenance service or repairs be pertormed by the City,the property owner shall�e 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 shatl be the responsibiiity of the�ppticant,owner,accupant or user to perform standard maintenance of
the sewer se�vice line from the premises to the main including debris clearing ar 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)
Request Number: 7173
Public Works Division
Service Request
Problem Address: 6400 Van Buren St Requested By: Sandi Hara
Department: WA7ER Address: No address provided
Problemllssue: READ METER(WATER) Phone Number:
Scheduled Date: Scheduled Time:
_'`.
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ACTION NEEDED: Final reading. C ing 10/22/13 E T#33370959
Created by: Wendy Hiatt Date Created: 2013-10-28
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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Hiatt,�IVendy
From: Hara, Sandra
Sent: Friday, October 25, 2013 11:09 AM
To: Hiatt, Wendy
Subject: Flnal meter reading needed
Hi
I have a home that closed on 10/22j13 at 6400 Van Buren St. The ERT#is 33370959. {f the guys could get a final
reading. Thanks.
Sa,�l�la�,a
City of Fridley
Utility Billing
763-572-3530
1