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Meter Swap � ��1 f NS A LA�ON� ' u.��. AUTOMATIC METER READER FRIDLEY Address `, '�� ' `,��( Name ^��`1A�1� �'�� Date�.��"'� 1 Old Meter Number l�`'�� `.� Old Meter Reading �J Replacement Na � . -6 �� Replacement Reading C� Replacement Make ��A�J�'t''� ERT# .��C1��✓ Replacement ERT# Remarks �aA3a— Siqned: / � — r,(� CL Q � �? C�' � .,� c�— „9 � �'� M � � � -s� � � � � � � � �, � ► �' � � � � � r �, � � � � � � .� � � � � � � � � � � � � -' � � , � '� � - . �. � � � � � Y a � � � � � � � � � � � � � � � � z �' � � � � �� m _. � ° � : � � � � � � , ,.; ' � � � ' � �c � � � a � i , j� � N � � � � � ` � � � � � � � � � � � � � � � �� d� .� .� � �, � � �,, , ; � .._ � , � � � � � : �� _ �� ; ; � . �� _ � � � � � � ; � � � � c � r� ; � � ° �- . a_ � � , a � � C] � ' , � � _ _ " [L � City of Fridley Water Department 6431 University Avenue NE Fridley MN 55432 (763) 572-3561 Uwe hereby authorize the City of Fridley a.nd/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the mai.n to the premise and a11 interior plumbing. (Per City code 402.06) I also hold the City of Fridley andlor its employees harn�less for any damages that may occur while doing this operation. This to include,but not limited to; valves,piping, wa11s, 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: �1_�� `1 �� Address: � � �. ��. �.�`�� T Phone Number: � '-5 ��(?� Date: �U"Z.1" � � �, Signature: � `- � �, Witness Signature: f w•� 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. PERMTT�EE Prior to constructing or repair of any water or sewer line connecting the e�.sting 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 Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line untit an inspection 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. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connecrion has been made to the water service curb stop box or the sewer lead at the property line or a water service or se�ver 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 any sewer lines necessary for connection of the premises from the main to the premises. If the property 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 repairs,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 of the land or properiy. (Ref 638, 1156, 1191) Request Number: 7670 Public Works Division Service Request Problem Address: 5932 5th St Requested By; Sandi Hara Department: WATER Address: No address provided ' Problemllssue: FINAL METER READING Phone Number: Scheduled Date: Scheduled Time: -.. _....� ,'"�r j ACTION NEEDED: Final readi i. Closing 3/28/14 E�tT#33303637 -�,/'� �--�a----�---Y Created by: Wendy Hiatt Date Created: 2014-03-20 ACTION TAKEN: _............................................................................................................................................................................._........................._.........................................._........................................................._............................_....................___..._..........____._..._.....-- ......................................................................��:.G..�.....d._.a�_�.1.�...��:............................................�._S.�_`�................................_ ......................................................................................................:......................................................................................................................................................................................................................................_._..............__..............._.._......._._..._.. ..................................................................................:..................................................................................................:..........................:...........................................................................................................................__..............__....._............._._......._......... .................................................................................................................................................................................................................................................................................................................................................................�--....................._........._.._.__... .............................................................................................................................................................:..........................................................................................................................................................................__.._.........._.__.........._....__..........__._..._ Status: In Progress Resident Contacted ❑ Date Completed: Com ted by: , .� - �� ,,� Hiatt,•Wendy From: Hara, Sandra Sent: Wednesday, March 19, 2014 4:01 PM To: Hiatt, Wendy Subject: final reading needed Hi I have a closing on 3/28/14 for 5932 5th St NE and need a�nal reading on the AMR close to the closing date. The ERT#is 33303637. Thanks. Sandi Hara Utility Billing 763-572-3530 1