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Meter Swap '� .r �:�� z�{�-�� ii' INSTALLATION G.N� AUTOMATIC METER READER FRIDLEY Address l��IQ� ��'�'�� Name �l�►'� �\��9-�� Date tc�" �" ��. _ Old Meter Number � , � � Old Meter Reading Replacement Na ��.�'�� Replacement Reading � Replacement Make ERT# �� a—I '1 � �' Replacement ERT# Remarks: Signed: �� R�lleSt ftN�fu1t:� Ft�t tti�►'t�# ��id� � �: ��-tz�-� �: ��e�t��z �Tl�= , � �� '� �: Wate� _ ��: ,�� Ad�r.sz� �#1/1�+1 BU�{ST I� �� 51-�1240 �� S�hrduiad t�e: 5/�s/'.tQ12�flQ!�t�l.�S � �op+�€�t�"�' !612-581-324� _ �:,�: +lU�� _:::;�; t�~�1'D . �T�: � �Id �leter# t�-�y�� t�ld r�din€�. �,� �-� -l� 1�1�w �le�r # �, S�� e�r �e�ding. � � ��T� �j'��l'�3 �� ._.___ .��..__�_._.___--�--__��__ � � _ � __._____ ___� _,_._.._�___ ______. ��:� ��,�� . _ . .__ .. .. � - City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We hereby authorize the City af Fridley and/or its empinyees 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 ptumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,hut nat limited to;valves,piping,walls,floors or the curb � stop 6ox and service line. I understand I am also required to obtain a pe�mit prior to any work,if necessary. Finat meter reading(o{d meter) �� Name: Address: �JO�I� `��yK� Phone Number: Date: �� • Signature: � . Witness Signatu . . FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY 5EWER � ADMIINISTRA710N (Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191) 402.05. PERMIT FEE Priar 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 cantractor 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 unlawFut 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 connection. 4U2.06. REPAIRS AND MAINTENANCE TO CONNECI'ION 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 accupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for�onnection 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 awner 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 senrice 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 638,1156,1191) ...__ w�..............___�_�.�_.��...___ _.�.............� �� , � � �� ---- .._._..___�.______________..___.... _..... w., � -- ___ .�_.._.. ...______ L��__.. G � ��1'��/`�� _ � "��#�!M/��S ��Ctt�1' �t+L�t#1�3 �� ;�� =�d� �41�I�i'8 t�FiA E� =�PV :��} �M =� � :� �+�1� =�1 �' ZlO�J�OI =��(1 13�5-Zi.-1�9 =�� + . � _ '�i �� -Hiatt, Wendy From: Hara, Sandra Sent: Monday, October 29, 2012 9:09 AM To: Hiatt, Wendy Subject: Final meter reading Hi I need an AMR scanned for a final meter reading at 6261 Van Buren St NE. The ERT#is 33302743. Thanks, Sandi Hara 1