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��N�. AUTOMATIC METER READER
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Date �~c�C�' l �
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Old Meter Reading � �
Replacement No. L � �
Replacement Reading C�
Replacement Make ��1��
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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 reptace the water meter. I understand that the property owner
is liabie 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 and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited ta;va{ves,piping,walis,floors or the curb
� stop box and service line. I understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � I ` ��
Name� Address• ��� � — � '/2 J (
Phone Number: Date: ��� V�l�___-
Signature: '---
. Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINIS7RATION
(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 or contractor shall be requi�ed 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 shali be notified. it shail be unlawful to cover any connecting line untii 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 rnade 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 shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily 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 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: 9001
Public Works Division
Service Request
Problem Address: 5851 2 1/2 St Requested By: S�y�� `�-�.ry `-'
Department: WATER Address: No address provided
ProblemlLssue: FINAL METER READING Phone Number:
Scheduled Date: Schednled Time:
ACTTON NEEDED:Final reading losing 9/30/14 ERT 33370878
Created by: Wendy Hiatt Date Created: 2014-09-29
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by: �
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H�,att, W�ndy
From: Pederson, Jessica
. _ . �er�t: _ Mo�iciay, jeptem�er 29, 2014 12:02 PTvI , _ .
To: Hiatt, Wendy
Subject: Final Reading Needed
Account#171595-445540---58512%St. NE
Closing date: 9/30/14
ERT#: 33370878
Wendy we need a final reading for the above information. Thank you!
Jessica Pederson
City of Fridley
Utility Billing
763-572-3528
1
Request Number: 8465
Public Works Division
Service Request
Problem Address: 5851 2 lt2 5t Requested By: Mailman
Department: WATER Address: No address provided
Problem/Issue: WA'TER SERVICE LEAK Phone Nnmber:
Scheduled Date: Scheduled'Ilme:
ACTION NEEDED:Water is coming up out of the street.
Created by: Wendy Hiatt Date Created: 2014-07-15
ACTION TAI�N:
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Status: InProgress ResidentContacted �
Date Completed: Completed by:
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