Meter Swap '� � j � �t���—�5�;�c:a
INSTALLATION
G.nroF AUTOMATIC METER READER
FRIDLEY
Address ���" �� ���c
NameT�� �2�� -
Date �d-o�il�
Old Meter Number y y �J
Old Meter Reading �a5
Repiacement No. y�� 10���
Replacement Reading �
Replacement Make ��-
ERT# ����b�
Replacement ERT#
Remarks:
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Acl�ess� 5925 4TH ST ME Ca�adc F'h�ne: �51-777-7�87
Sc�redulead Date= 1Qf16J2d11 11 fiQ AM �� " Pm�y�wner: ,Fvn�da Brt�nun
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City of Fridley
Water Department
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
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Uwe��rr� ��t_.,ti:>�� hereby authorize the City of Fridley andlor its
employees to do what is necessary to replace the water meter. I understand that the
properiy owner is liable for the water line from the main to the premise and all interior
plurnbing. (Per City code 402.06) I also hold the City of Fridley and/or its employees
harrnless for any damages that may occur while doing this operation. This to include,but
not limited to; valves,piping, walls, 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.
Name: ��������L.�/5�► Address:���i�_� ���T �--�
Phone Number: �r,�l��(c'._—(Q�rj(� Date:���
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAiVITARY SEWER
ADMIlVISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.Q5. PERM[T F'EE
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 VJater and Sewer Department shall be notified. It shall be unlawful to cover
any connecting}ine until an inspecrion has been made and such connecrion and the work incident thereto
has been approved by the City as a proper and suitable connection.
402.06. REPAIItS AND MAINTENANCE 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 e�ctended 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 any sewer lines necessary for connection of the premises from the main to the premises. If
the properly owner requests maintenance services or repairs be performed by the City,the property owner
shall be charged for the costs of the maintenance and/or r�pairs,including any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility 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 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 ofthe land or property. (Ref 638, 1156, 1191)
Request Number: 12166
Public works Division
Service Request
__ ____ _ ___ ____ __._
_ ____ _ ----------._ —- --------
Problem Address: 5925 4th St Requested By: 5andi H
Department: WA1ER Address: No address provi�d
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Sc6ednled 13me:
ACTTON NEEDED:Final reading.Closi 11/15/16 T#33303650
Created by: Wendy Hiatt llnte Created: 2016-11-01
ACTION'�.4rKEN:
................._...................._.____._........ �����_� '�a�3.__..____..._.._._____._........__.._.....__._.___.
Status: In Progrress Submitter Haa Been r
Contacted
Date Completed: Completed by:
1 l - ��- l�O
Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, October 31, 2016 3:31 PM
To: Hiatt, Wendy
Subject: DELAYED CLOSING FOR 5925 4TH ST
Hi
The above address was to close today, but got rescheduled to 11/15/16. If Pete didn't get a reading yet can you change
the date? The ERT#33303650. I haven't been able to print out the workorders you've already sent me,so maybe he
already did it. but will need to try again in 2 weeks. Thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
�
� Request Number: 12114
Pubtic Works Division
Service Recryest
Problem Address: 5925 4th St Requested By: Sandi Hara
Depu-tment: WA1ER Address: No address�ovided
Problem/Issue: FINAL ME1ER READING Phone Number:
Scheduled Date: Schednled 1ime:
ACTiONNEEDED:Finai reading.Clos' 10/31/16 T#33303650
Created by: Wendy Hiatt Date Created: 2016-10-20
ACTION TAI�N:
��� - a� � �a __.__.__.____._._.____
Status: In Progress Submitter Has Been r
Contacted
Date Compteted: Completed by:
��-3�-'�
Hiatt, W�ndy
From: Hara, Sandra
Sent: Wednesday, October 19, 2016 2:47 PM
To: Hiatt, Wendy
Subject: final reading
Hi
Need another�nal reading for 5925 4th St closing on 10j31/16. ERT#33303650
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1