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city of Frialey
Water Detiartment
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Name `�'� L� �\C�t��a�
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Old Meter Reading ��
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Remarks:
Signed �
UT300I01 CITY OF FRIDLEY CXLIB 1/24/08
� � Customer/Location Consumption History Inquiry ` 15': �6: 10
Customer ID: 153705 Name: JOHNSON, TYLER & DANIELLE
Location ID: 470660 Addr: 633 BENNETT DR NE
Cycle/Route: 02 07 Amount due: $ . 00
Initiation date : 9/01/06 Pending . $ . 00
Termination date: 0/00/00 Customer status : A Customer/Location status: A
Type options, press Enter.
1=Select S=View detail 6=Display comment codes
Opt Reading Actual Actual TGAL
Svc Type Date Consumption Demand Reading
WA REG 9/30/07 48 . 00 . 00 ��"'�`3932 . 00 ��"��`'"'� 3���J
� WA REG 6/30/07 21 . 00 . 00 � 3884 . 00
� WA REG 3/3i/07 12. 00 . 00 3863. 00
� WA REG 12/31/06 18 . 00 . 00 3851 . 00 .
— WA REG 9/30/06 15. 00 . 00 3833. 00
WA INT 9/01/06 . 00 . 00 3818 . 00
F3=Exit F5=Print history F6=Meter inventory F7=Meter svc info
F8=Pending/history trans F9=Budget trans F24=More keys
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G.n� AUTOMATIC METER READER
FRIDLEY
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Oid Meter Number � ��
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City of Fridtey
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 replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per C�ty code
402.06) i also hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,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 readin old meter � � ���
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Name� Address� VJ�� L,��T� ��
Phone Number: ate: ���—l� ,
Signatur
Witness Signatur : ,
FRIDLEY CITY CODE � �
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADM1NiSTRATION �
(Ref Ord Na 113,464,SbS,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 anj+house
or building for which the applicatian 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 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 carb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property Ilne for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie 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 performed by the City,the property owner shatl 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�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 c�earing or root cutting and to maintain the
water service curb stop box for operabifity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)