Meter Swap � E:,�.��ii./�.,�f�:��%
'� �''��'�� INSTALLATION
G.n� AUTOMATIC METER READER
FRIDLEY
Address
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Name �� �L���r�'Z
Date ��" ����
Old Meter Number �` �
Old Meter Reading �
Replacement No. � ����
Replacement Reading �
,
Replacement Make `'L `
ERT# ���� �� l a �,
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
� I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbtng. (Per City code
402.06) I also hold the City of Fridley andjits employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,wails,ffoors or the curb
stop box and service iine. 1 understand I am alsa required to obtain a permit prior to any work,if
necessary. � `�
Final meter reading(old meter)
Name� Address�_ � `�� v���
PhoneNumber: bate• t��� J� �� —
Signatare: �i J�"`-'�'",1�A.l�-��/�.
Witness Signature:_��'��"'"
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191}
402.05.PERMIT�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 Water and Sewer Department shall be notified. It shaff be unlawful to cover any connecting{ine until an
inspection has been made and such conneetion and the work incident the�eto has been approved by the City as a
proper and suitable connection.
4Q2.06. REPAIRS AND MAi1dTENANCE 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 extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shaN be{iable for atl repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the p�emises. If the property owner requests
maintenance service 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 shali 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 vr root cutting and to maintain the
water service curb stop box for operabitity and at such height as wi11 ensure that it remains above the finished
grade of the 4and or property. (Ref 638,1156,1191j
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Request Number: 10410
Public Works Division �
Service Request
Problem.Address: 675 57th Ave Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
ProblemlTssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Final reading.Clo ing 8121/15 E T#33303592
Created by: Wendy Hiatt Date Crested: 2015-08-04
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Completed by:
�! �- � 5
`
Hiatt,�Wendy
From: Johnson, Susan E.
Sent: Tuesday, August 04, 2015 12:11 PM .
To: Hiatt, Wendy
Subject: Final Meter Reading
Another one0
675 57 Ave NE
Closing date:08/21/15
Ert#33303592
Thank you!
Su.e�naan
City of Fridley
Utility Billing
763-572-3528
1