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Replacement No. � � s � '�
Replacement Reading
Replacement Make
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �� � /� r
Final meter reading(old meter)
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Name• Address: � �� `,����F-i�' ' '
Phone Number• Date: �������-----
Signature:
,
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.05. PERMITfEE
Prior to constructing or repair of any water or sewe�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 Chapte�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 service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repai�s,at a rate set annually by an administrative
policy. It shali be the responsibility of the applicant,awner,occupant or user to perForm standard maintenance of
• the sewer service line ftom 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: 8245
Public Works Division
Service Request
Problem Address: 131 Panorama Ave
Requested By: Sandi Hara
Department: WATER
Problemllssue: FINAL METER READING �d�ess: No address provided
Phone Nurr�er:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Final reading. ERT#34277404 Closing s on 7/15/14
Created by: Wendy Hiatt Date Created: 2014-06-25
ACTION TAKEN:
........._..______..................._.__._........................._..
................_............�........_
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Status: In Progress Resident Contacted ❑
Date Completed; Completed by:
� �-t�� y �� � �
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Hiatt, Wendy�
From: ' Hara, Sandra
Sent: Wednesd�y, June 25, 2014 10:09 AM
To: Hiatt, Wendy
Subject: final meter reading needed
Hi
Can you have the guys scan the AMR at 131 Panorama Ave for a final bill, closing on 7/15/14? The ERT#is 34277404.
Thanks.
Sandi Hara
Utility Billing
763-572-3530
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