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INSTALLATION
unroF AUTOMATIC METER READER
FRIDLEY
Address �� <,� `,}'���- �
Name ,��C�`� �1�OR��CtJC�?
Date �� (r�
Old Meter Number � _`�
Old Meter Reading � � ��
Replacement No. ������� �
Replacement Reading Q�
y.
Replacement Make �A�
ERT# ���� 4 ul��
Replacement ERT#
Remarks:
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JAid�: 5231 I�F�NE . �12-�9-3�.9
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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
empioyees to do what is necessary to replace the water meter. I understand that the property owner
is liabie 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 employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floars or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(oW meter) ' �./� � " �'
Name� Address• ��� ` �1-�L v'�---
Phone Number: Date: . ��^ � .
Signature: �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMIN ISTRATION
(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 anjr 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 ta cover any connecting line until an
inspection has been made and su�h connection and the wark incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTIdN
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 shall6e fiabfe for aff repairs required ta any wate�line and sewer lines
necessary for connection of the premises from the main to the premises. tf 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 annually 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 inctud'+ng debris clearing o�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)
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Hiatt, Wendy
From: Hara, Sandra
Sent: Wednesday, September 05, 2012 9:03 AM
To: Hiatt, Wendy
Subject: Flnal AMR meter reading needed
Hi
There is a closing on 9/27/12 for Nicky Sivoravong at 6231 Carol Dr NE. The ERT#33371003. If the guys could read the
meter around that date that would be great. Thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3529
1
Request Number: 10361
Public Works Division
Service Request
Problem Address: 6231 Cazol Dr Requested By: Sandi H
Department: WA'IER Address: No address provided
Problem/Issue: FINAL METER READING Phoae Number:
Scheduled Date: SchedW ed ZSme:
ACTION NEEDED:Final reading.Cl s.ing 8/17/15 ER 33371003
Created by: Wendy Hiatt Date Created: 2015-07-27
ACTION TAI�N:
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................................................................................................................................._._.........:............:..............._..........._............_............................................._..............................................................._..................._..............._............_._.....................__........._
5tatus: InProgress ResidentContacted �
Date Completed: Completed by:
�"�� �15 .
Hiatt, Wendy
` From: Hara, Sandra
Sent: Monday, July 27, 2015 9:18 AM �
To: Hiatt, Wendy
Subject: Final reading needed
HI
We need a final AMR reading at 6231 Carol Dr NE for a closing on 8/17/15. The ERT#is 33371003
thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1