Meter Swap L� j s��7�-��aa y�
� ����� fNSTALLAT{ON
��n�. AUTOMATIC METER READER
FRIDLEY
Address_��(�,� " l-���
Name �Vl�l�l� ��;
Date �� >'—� .
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Old Meter Number
Old Meter Reading ���'�.�` G
Replacement No: �OZ��
Replacement Reading �/t
Replacement Make '4�'�-
ERT# �� �`1 ��J �
Replacement ERT#
Remarks:
7��� Siqned:�
R�qUest for Serv� Report
� ` Gity of Fridl+�,►
R�e�r,ce�O: so�-7�-385s Qa#e: 1���s�za�t
� T�pe� tr�;alt A�IR�e#� Er��E#3r: W�uiy�att
C�p�tment: W�er t'�izen Name: Davici fi�nbo
Ad�� �66D 7TH ST P!E ac�l€€Ph€an�: �12-�342
Sctredul�d D�e= 11�71 8�AM � Pra�perty C)wner:
Locat+�C��s: Request Details_ irntaM AMR
}4c#ion T�cen:
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City of Fridley
Water Deparhnent
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe ,�(,�; ;'i(;� 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 main to the premise and all interior
plu.mbing. (Per City code 402.06) I also hold the City of Fridley andlor 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 obtaiu a permit prior to any work, if necessary.
Name: �C.�f�� L�:r3 Address: ���� 7�1� s� �[
Phone Number: �Z. � /�`�`� -� ��l Z Date: �I�Z 3/ II
(�-,�-
Signature: ���L�'�i+/ ,� K��f
Witness Signature_ ���
FRIDLEY CTTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINI.STRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMIT 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 far such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such
cannection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspecrion 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. REPAIRS AND MAINTENANCE TO CONNECTION
After the in.itial 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�ended 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 connecrion 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 chazged 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 property. (Ref 638, 1156, 1191)
,
Request Number: 11947
Public works Division
Service Request
Problem Address: 5660 7th St Requested By: 5andi Hara
Department: WATER Address: No address provided
Probiero/Issue: FINAL ME'IER READING Phone Number:
Schednled Date: Scheduled 1lme:
ACTION NEEDED:Final Reading. osing 9/6/16 T#33145075
Created by: Wendy Hiatt Date Created: 2016-09-02
ACTION TAI�N:
_.........._. � �� - . �. �.�
_......................__._._�?�_'���..._..._..._.__.____.......__.__..�...._.............._�._.......... _.._......_......._....... ._..________._.__ �_._..__._..___
Status: In Progress Submitter Haa Been r
Contacted
Date Completed: Completed by:
�`� �
Hiatt, Wendy
From: Hara, Sandra
Sent: Thursday, September 01, 2016 3:13 PM
To: Hiatt, Wendy
Subject: Need final reading
HI
I need a final reading scanned for closing on 9/6/16 at 5660 7th St NE. The ERT#33145075
thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1