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Meter Swap 1 F . I A 4' L i� k • f��'��rt�.� q, C J�1 4? 1'�''k � �� ? . a N ;� � `.� ��+� �°� ; � � i =, x m' . � ,.,� .- .� .. F �. . ��. ..> >a� �;�: � Aaar�sS �(� � � � `h }-�� . Name d t v �t c�e,�` . Date s- ( 3 `�Q Old Meter Number �.��7,,�a.� Old Meter Reading � (�� Replacement No. � �Ej 3 � Replacement R�ading � Replacement Make ��er Remarks: � �� °''�_ c Signe � � '� ,��—l--a- j�;c�r a-S��y l�i� � �/ INSTALLATION ��.�� AUTOMATIC METER READER FRIDLEY Address �� f�lg t,(_7T`/ � Name �� 1 �� .1� Date � t1-�.—�� Old Meter Number T "l: . � OId Meter Reading �1� �C� Replacement No. Replacement Reading (?� Replacement Make ERT# J�� C�� Replacement ERT# Remarks: -��' Signed: � � Ft�� fc�r� - R Ci�y t�f Fr�idiey � �ia: �1-�2-d640 t�: 1z Tjpe: Irr�a�i�iR Aret�cr ��f�: . Wa�x . C3�'8�en Adc�� fi�1 IAFA'�1 ST t� . JC' ��—�(12Z �: 5�-�2 ,��-- �e�ne�a� _ _ . 1 � _ ,� � ��: +�i;� t�� # `��C� �� 3� +C�ici readin�� , �$� �d+�v�r ��r#� �'�� J�:w �ea+ding� �E�T� �j�'j�� 1 � � � '�`�� _..,----.__ �_�_.:�._.�____.____________ _._______ ______ __.__.._. .� � � �_______�__�__�.____�� _________._____�_.. _______._ - �: , � �, �� _ _ __ � � . City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 f/we hereby authorize the City of Fridley and/or its employees to da what is necessary to replace the water meter. I understand that the property owner is liable for the water tine from the main to the premise and alt interior plumbing. (Per City code 402.06� 1 also hold the City of F�idtey and/its empioyees harmless for any damages that may occur while doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb � stop box and service line. 1 understand I am aiso required to obtain a permit prior to any wark,if necessary. Final meter readin (old meter) � � �� C Name: Address: 1lJ�J4)' VV [T"J�'liSt�ZdJ �� Phone Numb . Date:�,�,'�-1� � ► � Signatu • Witness Signature: 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 a�y water or sewer line connectis►g the existing municipat system and anq house or building fo�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 connectian 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 6een approved by the City as a proper and suftable connection. 402.06. REPAIRS AND MAINTENANCE TO CONNEC770N 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 iine and sewer tines necessary for connection of the premises fram the main to the premises. �f the praperty owner requests maintenance service or repairs be performed by the City,the property owne�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 shail be the responsibility of the applicant,awner,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 maintein the water service curb stop box for operabiiity and at such height as will ensure that it remains abave the finished grade of the land or property. (Ref 638,1156,1191) , Request Number: 11452 Public Works Division Service Request Problem Address: 6361 Washington St Requested By: Sandi Hara Department: WATER Address: No address provided Problem/Issue: FINAL METER READING Phone Number: Scheduled Date: 5chednled Time: ACIZON NEEDED:Final reading.Clsoi 5/11/16 RT#33370941 Created by: Wendy Hiatt Date Created: 2016-OS-12 ACTION TAI�N: ................................................................................................................................................................................_.............................................._..................._................................................................._....................................._.___......................_.........:.. . ........................................................................................ .:�.... _�.l��'v.... ......_��I..�.._��.........................................._..._....................._........................._......._.._._._.................._.__._..__..._.__._ ..........................................................................................................................................................................................................................................................................................................................................................._..._...................................... ............................................................._............................................_._...................................................................................................................................._................_............................................................__........._.._..................._.__._.........____....... ......................................................................................................................................................................................................................................................................................................................................................__................................._........_.._ ........................................................................................................................................................................................................................................................................................................................................................................___.._......................... Status: In Progress Resident Contacted ❑ Date Completed: Completed by: �-l�� Hiatt, V11e��dy From: Hara, Sandra Sent: Thursday, May 12, 2016 10:03 AM To: Hiatt, Wendy Subject: final reading Hi We need an AMR scanned for a closing on 5/11/16 at 6361 Washington St. The ERT#33370941 Thanks Sandi Hara City of Fridley Utility Billing 763-572-3530 1