Meter Swap � ���� NSTALLA ION�
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cl.no� AUTOMATIC METER READER
FRIDLEY
Address �J C�_�'T� VE��"� ��
Name F�1�Z���J � tb2���
Date 1 l""'��"'`�
Old Meter Number �a��
Old Meter Reading � �
Replacement No. ��� U�� 5
Replacement Reading �
Replacement Make �"U
ERT# ���J�J� ���
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Replacement ERT#
Remarks:
�-,� Signed:
Request fcfr �erv�e R+�p�art
City of Fndley
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Requesf T�e� (nsta�AMR n�eter Enker�ed�: Weru�y t�att
[jep�trn�t: Wat�er f�izen N�ne: IGrsten T�es
Adc�+ess� 5�848.�EFFER9�N ST NE ac�c�ne: 763-574-0434
Scheduled [late: 11�11 lt#:�hM � ' 'Prc��aty(:�a��:
Loca#ion I�#�s: � Uetaits: ktistaw'/4MR
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" � City of Fridley
Water Department
6431 University Avenue NE
Fridley NIN 55432
(763) 572-3561
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Uwe , � eby authorize the City of Fridley and/or its
employe 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 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,pipiug,walls, 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.
Name: Address:
Phone Number: Date:
� �
Signature: �-� � ��'��.�A�
Witness Signature: - � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAIVITARY SEWER
ADMIlVISTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERNIIT FEE
Prior to conslructing or repair of any water or sewer line connecting the e�sting 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 line untit 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. REPAIltS 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 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 properly owner requests maintenance services or repairs be performed by the Ciry,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 63&, 1156, 1191)
Request Number: 9002
Public Works Division
Service Request
Problem Address: 5848 Jefferson St Requested By: Sandi Haza
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACITON NEEDED:Final reading.Clo ng 10/3I14 ER #33302548
Created by: Wendy Hiatt Date Created: 2014-09-29
ACTION TAI�N:
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Status: in Progress Resident Contacted C�
Date Completed: Completed by:
r� � 3 �- 1 `��
Hiatt, Wendy
From: � Hara, Sandra
: _ ���,�: _ Mr�r�day, Septemner 29, �0'i4'i1:34 Pi�i _
To: Hiatt, Wendy
Subject: Final AMR reading needed
Hi Wendy
We need a final reading on the AMR at 5848 Jefferson St for a closing on 10/3/14. The ERT#is 33302548. Thanks.
If I didn't remember to te11 you before can you send all readings back thru me even if Jessica is the one to request the
reading? Thanks.
Sandi Hara ,
Utility Billing
763-572-3530
1