Meter Swap � !,�� r'' ��? I�STA TION v
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v.N�. AUTOMATIC METER READER
FRIDLEY
Address �
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Name�„�L�l�{�-� �.+L r�n,Q�'L
Date �-1�—��
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Old Meter Number C��� ���. -
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Old Meter Reading��'""" �
Replacement No. �tac►����
Replacement Reading �
Replacement Make �.
ERT# . ` -
ReplacementERT# � `
Remarks: ������ �L��-'�
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UT300101 CITY OF FRIDLEY CXLIB 6/04/12
Customer/Location Consumption History Inquiry 10 : 56: 41
Customer ID: 69855 Name: ZEMBAL, RICHARD , - .
Location ID: 512360 Addr: 7634 JACKSON ST NE
Cycle/Route: 03 09 Amount due: $145
Initiation date : 5/04/84 Pending . $ . 99-
Termination date: 0/00/00 Customer status: A Customer/Location s tus : A
Type options, press Enter. '��_��
1=Select 5=View detail 6=Display conunent codes
Opt Reading Actual Actual TGAL `1��
Svc Type Date Consumption Demand Reading � W`� I�
WA REG 4/30/10 30. 00 . 00 6315. 00 �
WA REG 1/31/10 30 . 00 . 00 6285. 00 �
WA REG 10/31/09 3� . 00 . 00 6255. 00
~ WA REG 7/31/09 31 . 00 . 00 6223. 00 ��'
— WA REG 4/30/09 30. 00 . 00 6192 . 00
WA REG 1/31/09 30. 00 . 00 6162 . 00
— WA REG 10/31/08 32 . 00 . 00 6132 . 00
� WA REG 7/31/08 32 . 00 . 00 6100. 00 +
F3=Exit F5=Print history F6=Meter inventory F7 Meter svc info
F8=Pendinq/history trans F9=Budget trans F24 More keys
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
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(763)572-3566
I/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 property owner
is liable for the water line from the main ta the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this aperation. This to include,but not limited to;valves,piping,walls,floars or the curb
stop box and senrice line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading�old meterj ��a� ��a
Name: Address: � ��� ������''�
Phone Numb • Date: , `��t
Signature: `'�
. Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITQRY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191j
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and an jt house
or 6uilding 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 until an
inspectian has been made and such connection and the work incident thereto has been app�oved 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�epairs required to any water fine and sewer lines
necessary for co�nection 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
po(icy. 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 ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)