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Meter Swap '� ) kaa-�cS-'f�/�� "�� INSTALLATION crnroF AUTOMATIC METER READER FRIDLEY Address ��V — �O'' J(' Name �11��L�� .�Ac�� ate �(�i3� �'�� Old Meter Number `?� Old Meter Reading 53 � Replacement No. ��9�'�'��3 Replacement Reading Su Replacement Make ��0 "t ERT# ��a�� Replacement ERT# Remarks: ��-� Signed: Frequest for Service R�:p�rt � City c�f Fnd�:y � t��r��: s�t-��-:� ��: 7�r2��7 � �,�� r�t�i aM��c� ��a�,r: �� t3�parrme�: YV�ter Gt;ze.n�lan,e: �Merri�c-l.�tu, Adc��s� 605�6TH ST WE CaNba�elc Phcm�: 7fi3-571-3�1� Sc�duled Otate: #�f3112�11 9�00/tiNl �� ;rC��c-. Pr��3r�rn+er: Loc3tir�n Ctet�ls: R�iest Qetails. kistalF AMR 1�icxt Tak�n: ;�5�� A�� o��-�� - t n`�an��C� � �� r�- s3g`��to �,��.� /n�-z� � - �13s°[�� .��-w ��- � ' ��- �3��3a�3 ��i��: � .aa�over. Cam�4�ivn Date: .� � ��ixe�n No#fied Ip- �� -I� � . �� ` City of Fridley Water Deparlment 6431 University Avenue NE Fridley MN 55432 (763) 572-3561 vW� �!� ,� , �,�� D i� hereby 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 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 and/or its employees harmless 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 obtai.n a permit prior to any work, if necessary. Name:�11 1� r1�� V(rl�� ✓� Address: �,Ql,'�� l.�`-1'v\ � - �� t� i I : � I �' �-�� rh�Yc Number:��Q�" J�1 �� Date: 1� Z l� � Signatur : L' /�-��- �-.. :. Witness Signature: � FRIDLEY CITY CODE CI3APTER 402,WATER,STORM WATER AND SAIVITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191) 402.05. PERMTT FEE 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 Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting 2ine 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. REPAIltS AND MAINTENANCE TO CONNECTION After the initial connecrion has been made to the water service curb stop box or the sewer lead at the properly line or a water service or sevver 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 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 ens�e that it remains above the finished grade of the land or property. (Ref 638, 1156, 1191) Request Number: 9252 Public Works Division Service Request Problem Address: 6050 6th St Requested By: Sandi Hara Department: WATER Acldress: No address provided Problem/Issue: FINAL METER READING Phone Number: Scheduled Date: Scheduled Time: ACTION NEEDED:Fi eading.Closing 10/31/14 ERT#3330 83 Createdby: Wen DateCreated: 2014-10-22 ACTION TAI�N: ...................................................................................:.........................................................................................................................................................................................................................................................................................................._..__�......_ � �� - � �I � �� ...................................................................................................................................................................................................................................................................................................................._..._..._.._................._._.............._....__._._...................__.._ ............................................................................................................................................................................................................................................................................................................................................................................._.�_.�.._...... .............................................................................................................................................................................................................................................................._.._...._..._....................................................._....._.....___......._...................................... ............................................._..............................................................................................................................................._........_.._..._....._.........................................................................._............_............................................_........._..............._..__._.._.._ ....................................................................................................................................._....______.........__...................................................................................................._...................................................................._..............................................................._...._ Statas: In Progress Resident Contacted C! Date Completed: Completed by: " tb�� - _ � � � Hiatt, Vb$endy From; Hara, Sandra . . _. �enf: _ -,: �,.. .vVedn��fay; UCic3b�f'LL; 2�"i�#�:13 P�n. _-,-, .,_.< ... ._ .. . ..,_ . . .... .._�. _..,_ To: Hiatt, Wendy Subject: Final reading needed Hi I have a closing on 10/31j14 for 6050 6th St NE. 7he ERT#is 33303283 if the guys can get a meter reading then. Thanks. Sandi Hara Utility Billing 763-572-3530 �