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Meter Swap � �� I STALLAT ONu�✓4/ ' u.noF AUTOMATIC METER READER �� Address � l � ` Name � ��! �E"1�� GL5��1 Date .��1�� t , 0 Old Meter Number Old Meter Reading ,. 'I � Replacement No. 1�� Replacement Reading Q� Replacement Make � ERT# ��,��,�7 Replacement ERT# Remarks: ��ST �7��"L�� S�E� �-�-�, Signed: F��eqt�t fc�r�r� R+�p�rt _, �i�€�f Fndley F� �: �4-1�-�77� . �.r17r20tz Tjg�e= Ir�a�'A�IR a�er Bar: We�ci�r E�t�nk: Wa� t��: Wes�dy{J�arr Ad�: 5�1� ST� . 7�75�r�2 �Cf�d�d�� 5�/18{�1�1�Fil �`�� t9�er: �1W:763-78�5-3310 ��obJ�.��5� . ` Reque�it ilet,a*s= +ili� �s�a�: t�ld �"le�f � �" [ � �{ t�ld re�ding: ��5.� � �� J�;�v �l��er# �F� New R�adir�g. � ��-� � _ `��1 C� - 5 � �,°� _ ��.___� ___�__.___��.__�.__ __ ... � � � ��- ��__ � ��___ ____ � ��= �` I�� /^� � � _...___ _ .��'_._ � - City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763j 572-3566 I/we hereby autharize 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 ail interior plumbing. (Per City code 40Z.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,walis,flpors 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) I � �� Name: Address: � J 1� v��J PhoneNumber: Date: � ��~ �� Signature: . Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord Nu 113,464,565,566,6�9,638,662,922,988,1144, 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 buildi�g for which the apptication is made,the owner or contractor shalt be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter li of fhis Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be uniawful 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 necessary for connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be pertormed 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 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 g�ade of the land or property. (Ref 638,1156,1191j Request Number: 10346 Public Works Division Service Request Problem Address: 6310 Jefferson St Requested By: Sue-Utility Billing Department: WATER Address: No address provided Problem/Issue: FINAL METER READING Phone Number: Scheduled Date: Scheduled Time: � J � ACTION NEEDED:Final reading. osing 7/21/15 T#33370995 Created by: Wendy Hiatt Date Created: 2015-07-22 ACTTON TAI�N: ........................................................................................................................................................................................................................................................................................................................................................................................................................... �l.�n�}�� `_ �� V�� ....................................................................................................................................................................................................................................................................... ............................................................................................................................................. ............................................... ................................................................................................................................................................................................................................................................................ ..................................................................................... ........................................................... ................................................................................................................................................................................................................................... ._.......................................................... ................................................. ................................................................................................... ............................................................................................................................................................................................................................................................................................................. ....................................................................................................................................................................................................................................................................................................................................................................................................................... Status: In Progress Resident Contacted ❑ Date Completed: Completed by: ` � �� ` � � Hiatt, Wendy From: Johnson, Susan E. Sent: Wednesday, July 22, 2015 11:09 AM To: Hiatt, Wendy Subject: Final Meter Reading Hello again O Request for another final meter reading for: 6310 Jefferson St NE Closing date: 7/21/15 Ert#33370995 Thank you, Sue�P�nou.a City of Fridley Utility Billing 763-572-3528 1 , r' � Request Number: 8868 Public Works Division Service Req�st Problem Address: 6310 jefferson St.NE Requested By: Kevin Dalton friend of owner Department: WATER Address: No address provided Problem/Issue: WATER SERVICE LEAK Phone Number: 763-226-1597 ^ kev ln�s � Scheduled Date: 2014-09-02 Scheduled TSme: 10:00:00 ,�° � c�� ACTION NEEDED:Home vacant POA is�612-812-1619.Owner is Marily�I,azson no phone available.Friend of family Kevin Dalton 763-2261597 called in v�ork order.Said wter val�is dripping iside of house by meter.He vw�uld like us to check it out.Kevin said he feels it is city's responsibility according to where the leak is.Called Kory to advise immediately-work order issued Created by: Cheryl Pellegrin Date Created: 2014-09-02 ACTION TAI�N: .............................................................��........._��......................_,.....�....�........�..��..��..�'..r..........:......��_�.........._......................:................................__..__._______..._.__.___ - .............................................................�........:::.�_�......_�...�................��-�.�..............................�_�u..s�:..�._.............:............_......._..__............. `'�J.�..-s� �_�....................��_�P....�..�N..`��...,,�......................,��. ....._U,..K.....,5�?�.�6�!��..._._..__ ........................................................ .._..................................... . n T .................................................................................................................................................................:................................................................................................................................................__..........__.........__...__...................................................... ................................................................................................................................................................................................................................................................................................._...................._........_................._..........._.........._..._........._.__.._....... ...............................:........................................................................................................_.................._..........._....................................................................................._.__......................................................................__..........._._....._....._._........_._............_..... Status: Tn Progress Resident Contacted ❑ Date Completed: Completed by: ,� � - f %