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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the properly owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06� I also hold the City of Fridley andjits empioyees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls�fioors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work�if
necessary. �� • ,�
Final meter readin (old meter� � � �' �
B
Name• ��i�'�� . '� I��%�'h� Address• �� ���� �� —
Phone Number: Date: Yv`_ �" `�``
Signature:
Witness Signature:_� ��
FRIDIEY CITY C4DE
CHAPl'ER 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. PERMIT 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 ar contractor shaN be sequired 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 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. REPAIRS AND MAINTENANCE 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 shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance servlce or repairs be performed by the City,the property owner shai{be charged for the cnsts of the
maintenance andJor repairs, inciuding any necessary street repairs,at a rate set annuaNy by an administrative
policy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard rnaintenance of
• the sewer service{ine from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wil4 ensure that it remair►s above the finished
grade of the tand or property. (Ref 638,1156,1191)
Request Number: 10423
Public Works Division
Sexvice Request
Problem Atidress: 630 58th Ave Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
SchedWed Date: Scheduled Time:
ACTION NEEDED:Final reading.Cl sing 8/7/15 T#33303597 �
Created by: Wendy Hiatt Date Created: 2015-08-07
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
g le-��
Hia�t, Wendy
From: Johnson, Susan E.
Sent: Thursday, August 06, 2015 4:39 PM
To: Hiatt, Wendy
Subject: Final Meter Reading
Final Meter Reading request:
630 58 Ave NE
Closing date:08-07-15
Ert#33303597
Thank you,
Sue�a�ireaon
City of Fridley
Utility Billing
763-572-3528
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