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� INSTALLATION
G.n� AUTOMATIC METER READER
FRIDLEY
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Date
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Replacement Reading �
Replacement Make 2�
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Replacement ERT#
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' City of Fridley
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 repiace 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) 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur
� while doing this operation. This to inciude,but 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 to any work,if
necessary.
Final meter reading(old meter)
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Name• Address•
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umber Date• � '� �� � �'
��,,Signature•
Witness ature: .
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. 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 appiication is made,the owner or contractor shall be required to obtain.a permit far 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 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 tead 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 ali repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, includin�any necessary street repairs,at a�ate 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 including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such hei�ht as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191J
R�qUr��t f�'�rvic� R
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Request Number: 7385
Public Works Division
Service Request
Problem Address: 730 Marigold Terrace Requested By:
Department: WATER Address: No address provided
Problemllssue: WATER MAIN BREAK(WATER) Phone Number:
Scheduled Date: 2014-01-10 Scheduled Time:
ACTION NEEDED:Water main break
r
Created by: Wendy Hiatt Date Created: 2014-01-10
ACTION TAKEN: �
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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