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� '� INSTALLATION
U.NOF AUTOMATIC METER READER
FRIDLEY
Address � Z-%`1 � �` ' �"'� L� �•��
Name �..i��(�'�����Qs C=��
Date ��� �:'��
Old Meter Number ��� � �
Old Meter Reading - �
Replacement Na ���S`'� �
Replacement Reading �
Replacement Make . �� '
ERT# �� ��I ��I
Replacement ERT#
Remarks:
��3so Signed:
Req uest N u m ber: 6632
Public Works Division
Service Request
ProblemAddress: 5841 West Moore Lake Dr Requested By: Tammy Christiansen
Department: WATER /�ldress: No address provided
Problemlissue: READ METER(WATER) Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Final meter reading ERT#33144982 Cbsing was 7/15/13
Created by: Wendy Hiatt Date Created: 2013-08-07
ACTION TAKEN:
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Status: In Progres� Resident Contacted ❑
Date Completed: Completed by:
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H�iatt, Wendy
From: Christiansen, Tammy Marie
Sent: Wednesday, August 07, 2013 1:30 PM
To: Hiatt, Wendy
Subject: Final Meter Readng Please
Wendy please ask the guys to do a�nal meter reading at 5841 West Moore Lake Dr ERT#33144982.Closed 7/15/17
Thank you
Tammy C
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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 Frid{ey 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 prernise and all interior ptumbing. (Per City code
402.06) 1 atso hold the City of Fridley and/its empfoyees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walts,floors or the curb
stop box and service line. I understand I am atso required to obtain a permit prior to any work,if
necessary.
Final meter reading told meter) ���� � �
Name: Address:_�V�\ ����Q �w
Phone Number. Date:���,
r
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMiN15fRA'1'ION
(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 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 shaN be notified. 1t shall be unlawfu{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.�.REPAIRS AND MAIN7ENANCE 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
necesaary for connection of the premises fcom the main to the premises. If 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. lt shaii be the�esponsibility 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 vr 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 o�property. (Ref 638,1156,1191J