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GN�. AUTOMATIC METER READER
FRIDLEY
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Date l�`��'� c�
Old Meter Number �� �
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Replacement ERT#
Remarks
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
��We hereby authorize the City of Fridley and/or its
empfayees to do what is necessary to repiace the water meter. 1 understand that the property owner
is fiable for the water fine from the main to the premise and all interior plumbing. (Per City code
402.Ob) i also hold the City of Frid{ey andiits employees harmless for any damages that may occur
white daing this operation. This to inc{ude,but not iimited to;vatves,piping,walls,floors or the curb
stup box and service line. 1 understand 1 am aiso required to obtain a perrnit prior to any work,if
necessary.
Final meter reading(old meter)___ � ``� ��
Name: Address: ���� �� `�?
Phone Number Date• ��—� `�,�
,4.�.�.�� .
Signature:
Witness Signature:
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WA7ER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402A5. PERMIT FEE
Prior to construc#ing 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 contracto�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 unlawfui to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIDN
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 far connection,the applicant,owner,
or the occupant or user of such premises shali 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 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 wili ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)
Req u est N u m ber: 7036
Public Works Division
Service Request
Problem Address: 151 71st Way Requested By: Sandi Hara
Department: WATER l�idress: No address provided
Problem/tssue: READ METER(WATER) Phone Number.
Scheduled Date: Scheduled Time:
� ACTION NEEDED: Read meter. Clo ' g on 9/27/13 T# 277417 �
Created by: Wendy Hiatt Date Created: 2013-09-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, September 23, 2013 3:06 PM
To: Hiatt, Wendy
Subject: Final meter reading needed
Hi
We have another account closing on 9/27/13 at 151-715`Way. The ERT#is 34277417. Thanks.
s�����
City of Fridley
Utility Billing
763-572-3530
1