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� �'��' INSTALLATION
G.�,� AUTOMATIC METER READER
FRIDLEY
Address tU�`{ � t �\Q�Q��
Name�C1.� � � t.-L\�S
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Date � `��� �
Old Meter Number � �� i� I �
Old Meter Reading � ��
Replacement No. ��C= $�� �Y
Replacement Reading �
Replacement Make � �
ERT# �� �7� t d�� �
Replacement ERT#
Remarks:
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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 harmless for any dama�es that may occur
while doing this operation. This to include,but not limited to;valves,piping,watis,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) ���� � ��
Name:,�,1�'1-S����-S Address: �J��� ' ' ""��
Phone Number: Date: ��`(� ,
Signature�
_ Wltness Sig�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 municipat 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 shall be notified. it shall be unlawfui 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.
4�2.06.REPAIRS AND MAfNTENANCE TO CONNECTION
After the initial cortnectio�has been made to the water service curb stop box oc 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 sewe�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 shall be charged for the costs of the
maintenance andior repairs, including any necessary street repairs,at a rate set annuatfy by an administrative
policy. It shall be the responsibility of the appiicant,owner,occupant or user to perform standard maintenance of
the sewe�service line from the premises to the main including debris ciea�ing ar 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)
,
Request Number: 6�01
Public Works Division
Service Request
ProbiemAddress: 6545 Monroe St Requested By: Jon Williams
Department: WATER Address: No address provided
Problem/Issue: TURN WA7ER OWOFF(WATER) Phone Number: 763-238-8080 ,
Scheduled Date: 2013-04-18 Scheduled Time:■
,. �\
ACTION NEEDED: Turn on water. ***"BILL"*
Created by: Wendy Hiatt Date Created: 2013-04-15
AGTION TAKEN:
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_........................................................................................................................._..__._._.........._............:........................:........................................................,............................:.........................................................................:...:............_...........__.._.......:.._.�....._..
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Status: In Progress Resident Contacted �
.
Date Completed: L� ` �� r �� Completed by:
Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, April 15, 2013 8:59 AM
Ta Hiatt, Wendy
Subject: Water turn on
Hi
I talked to Jon Wilfiams(parks)wife,they want their water turned on at the street on Thursday April 18th. Jon just
wanted Kevin or Pete to call him to coordinate a time to meet over at their house at 6545 Monroe St to get the water
on. They are aware there will be a charge. Thanks.
Sandi Hara
City of Fridley
Utility Billing
763-572-3529
1
Request Number: 5657
Public Works Division
Service Request
Problem Address: 6545 Monrce St Requested By: Amy w/LX Preservation
Department: WATER Address: No address provided
Problemllssue: TURN WATER ON/OFF(WATER) Phone Number: 651-895-6254
ACTION NEEDED: Turn off water-forecbsure Lockbox OCN"*""BILL***'
Created by: Wendy Hiatt Date Created: 2013-02-08
ACTION TAKEN:
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Status: In Progress Hours:
Date Completed: Completed by:
r � �
� 83
. -
Request Number: 8784
Public Works Division
Service Request
Problem Address: 6545 Monroe St Requested By: Sandi Hara
Department: WATER Address: No address provided
Problem/Lcsue: FINAL METER READING Phone Number:
Scheduled Date: 2014-08-20 Scheduled'Iime:
ACTION NEEDED:Fina1 meter reading.Closing W esday,August 20,2014 E #33371006
Created by: Wendy Hiatt Date Created: 2014-08-14
ACTION TAI�N:
..............................................................._.__..._.........................................................................................................................:.................................................._........................................_........................................................._.._._..................................._...
..................._............................................................................................._.__...................................................................._....................:............................................................................._.................._.............................._................................._.._.__................_
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...........................................................................................................................___�_.........._..............:......................................................................................................................._.............._......._............_..................._........................................._...._.........._._.
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Status: In Progress Resident Contacted CI
Date Completed: Completed by:
` � rr� �
� � �
Hiatt�,We:a�y
From: Hara, Sandra
� �ent: Thursclay, August 14, 201d 8:41 ANl
To: Hiatt, Wendy
Subject: Final reading needed
Hi Wendy
We need a final meter reading for a closing on Wednesday August 20th at 6545 Monroe St NE. John Williams house. The
ERT#is 33371006.
Sandi Hara
Utility Billing
763-572-3530
1