Meter Swap . . � . . ' � . . �3,,.:,1�'� ., y�
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� City of Fridley
Water Department -
Address � / 3 �3� �� �
Name— ��-��>a,r�,� .
Date �—'�a' t �
Old Meter Number �L�� �� • ` ��
Old Meter Reading � � � 1 / C/
Replacement No. � ���
` Replacement Reading
Replacement Make � � c�"Q'�
Remarks:����"�n
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S igned �r
e
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� v�-�1> INSTALLATION
�.�� AUTOMATIC METER READER
FRIDLEY
Address ��� "' ��j���'��
Name J i�,��. ���-�l
Date c�'�'('b�
Oid Meter Number J ��5
Old Meter Reading �' �
Replacement No. E���5 ��Y
Replacement Reading �
Replacement Make � -
ERT# �- • �
Replacement ERT#
Remarks:
,.��,a-� Signed:
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- City of Fridley
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
t/we fiereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liabie 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 ha�mless for any damages that may occur
while doing this operation. This to include,but nat limited to;vaives,piping,wails,floors or the curb
� stap box and service line. I understand i am also required to obtain a permit prior to any wark,if
netessary.
Final meter reading(otd meter) �J ����� �
Name: Address: ��� � ��&
Phone Number. _ Date: "l���
Signature• �`��
. Witnes ignature:
FRIDLEY CI'TY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
AQMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191}
402.05. PERMIT FEE
Priar to canstructing 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 shalt pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be noti�ed. 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 connectian.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat 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 fine and sewer lines
necessary for cannection 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 shal!be charged for the costs of the
maintenance and/vr repairs, including any necessary street�epai�s,at a rate set annually by an administrative
policy. It shail be the responsibility of the applicant,owner,occupant or user to perForm standard maintenance of
the sewer service tine from the premises to the main inc{uding debris clearing or 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)
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' Request Number: 9964
Public Works Division
Service Request
Problem Address: 573 63rd A� Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Lcsue: FINAL METER READING Phone Number:
SchedWed Date: Scheduled Time:
ACTION NEEDED:Final reading. osing 3/31/15 T#33302322
Created by: Wendy Hiatt Date Created: 2015-04-10
ACTION TAI�N:
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Status: in Progress Resident Contacted �
Date Completed: Completed by:
W �- �� -� �
Hiatt, Wendy
From: „ Johnson, Susan E.
Sent: � Friday, April 10, 2015 12:53 PM
To: Hiatt, Wendy
Subject: Final Meter Reading
Here's another request for a final meter reading O
Address: 573 63`d Ave NE
Closing date: 3/31/15
ERT: #33302322
Thank you!
Sue�nhneort
City of Fridley
Utility Billing
763-572-3528
1