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Meter Swap � Q��INSTALL�i4TION��J I ��.�� AUTOMATIC METER READER FRIDLEY Address , /�f'�� ! [ ' Name �r�� / ' �L I-t.�'� Date � � `��-t � Oid Meter Number y ^� Old Meter Reading � o� � Replacement No. 3�9 � Replacement Reading Qj Replacement Make �IJ�l.J�v�- ERT# �3�� I� Replacement ERT# Remarks �� Signed: Request f�or �ervic� R�Port r - Ci#y gf Fridtey ��r�: s�t-�1-:� o��: 7or��rza�� %� ��urr��c� ��d ey: v�t��t �a��rn: w�c� c.�� r��: �,� Adhess� �754 7TH ST NE adc�rc�e: 763-571'�74 _--- t s��a �c�_ ��r�» >a�aa a� � l 1,��c�C�- ��: t�fl�t�: / �,�t o�c�:. tnc��R �,T��,- ' �,n � I��'cl.l. �l�`�� ; �� i i � I I � � � � � � , i � �� (�— �� -� ��'�- (��j�� 1��-� �t��s�:�— �3S��S��, � � �,r� �►��v._ ,� � � � �� -- �33�3y�� € �c�r,s�e P�,: =sr1�� € rt J P�rt�v�: � c�+�,��c�: i � _j _ � ��,r�t � _ � City of Fridley Water Department 6431 Universiry Avenue NE Fridley MN 55432 (763) 572-3561 I/we��;,i,�� .� /,�e�-'i' hereby authorize the City of Fridley andlor 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, 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. Nam�:_,1/c��%�� 1��` Address:�.�� / �J`� Phone Number: '��`SJ�I�7 G / T Date:// �.3'�� - , Signature:��-cv-� �� L��` ��i Witness Signature: t' ' , FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SAIVITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, i 156, 1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the e�cisting 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 connecrion,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 norified. It shall be unlawful to cover any connecting iine 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 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 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 ofthe land or property. (Ref 638, 1156, 1191) , '��" Request Number: 11415 Public Works Division Service Request Problem Address: 5784 7th St Requested By: Sue-Utility Billing Department: WATER Address: No address provided Problem/Lssue: FINAL METER READING Phone Number: Scheduled Date: Scheduled TSme: ACTION NEEDED:Final reading.Clos' g 5/2/16 T#33303428 Created by: Wendy Hiatt Date Created: 2016-OS-02 ACTION TAKEN: ........................................................................................._............................................._................................................_................._.............................._....._....._...................................._......._....�_...................._._..._......�.._._..__................................... �� ,� r , ...................................:.............................��................... ......._................................................__........._......................................__............. ............................................................................................................................._..................................................................................................._.............................................__.._.........._._..........................__........_._...................................._..__......__._._ ..................................................................................................................._..._........................_...................._..........................._............................................................_................................................_.._._�..........................................____._.___....... .............................................................................:...............................................................................................................................................................................................................................__..................._.................._.___._..._................................ ....................................................................................................................................................:...............................................................................................................................................................................__.._...._._..._......._.........._..................... Status: In Progress Resident Contacted ["I Date Completed: Completed by: � 1� � Hiatt, Wer�y —_ _. From: • Johnson, Susan E. Sent: Monday, May 02, 2016 9:44 AM To: Hiatt, Wendy Subject: 5784 7 St. NE- Final Meter Reading Hi Wendy, Request for final meter reading: 5784 7 St N E Closing date:5/2/16 Ert#33303428 Thank you! Sue�aR�ewaa City of Fridley Utility Billing 763-572-3529 My office hours Tuesday,Thursday& Friday 8am -4:30pm �