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Meter Swap � �� �INSTAL�LATION Gr�yv ' u�nroF AUTOMATIC METER READER FRIDLEY Address �J� �)� � ���� Name �� �C�.����� Date `)•���~- �.� Old Meter Number Old Meter Reading � Replacement No. ��� a3��{ Replacement Reading QS Replacement Make ����_ ERT# ���J�C� (��� 1/ Replacement ERT# Remarks: ����igned: . ' R�+q�ue� f��rAric� R�pc�r�t ��y tnf Fr�di�y � �. �t-��-�a ��: �r�a�2 T�� ,�� �+��r: . vu� ��: ��r� Add�s= C75'� 5TH ST� � !��2-�6-4�813 Q�e: 3f3d►�11"71�D!IM �� t��: t]�s= lii� � Tak�: �I�i NI�'�er # 1 � �'a; ''� � �;. +�I+d r�adin�g: � �� �j�� �: „ C�+�w �+�#�r�# ���j�, a,�v$� � �e�nr �eadir�g� � ��T� ��3� �`��`� � � � _� �����__�_�____�� _�___ __�__� ___�.._.�___ .�_ _____ _ � �� _ � � _ � �_____ _��_ ��_�___ ___�� ��_� e_ _.___.�_________ � �_ � _ � _ _ _ _ ..���:_� ..._��, 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 replace 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 and/its employees harmless for any damages that may occur while doing this operation. This to include,but nat limited to;valves,piping,walis,floors or the curb � stop box and service line. t understand 1 am also required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) ��� ��� Na____.. � Address: ���'`' ����Y Phone Number: Date:��`�� , Stgnature: Witness Signature: ��,T FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (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 anq house or building for which the application is made,the owner or contractor shaif be required to obtain a permit for such connection,and shail 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 noti�ed. 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 made to the water service carb 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 prope�ty owner requests maintenance service or repairs be performed by the City,the property owner shali 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 wilt ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) . � Request for Senrice Repork City of Fridley Reference No: 6�1-11-3016 Date: 05IO2I11 Request Type: Install meter [reglAMR] Entered By: Wendy Hiatt Department: Water Citizen Name: EricYerigan Address= 6151 5TH ST NE Callback Phone: 612-366-4813 Scheduled Date: 05f04f11 9.00 AM������ Property Owner. Location Dekails: `x"BILL'x"x Request ❑etails: Reinstall meter_ Turn water on Action Taken: �_...___._ -- - — l���ti`r-ci�����1- S� �S L��r�- ��S ci�--� rt �rI r� l�'t-��'� 1`S �`� _ Responsible Person: C Approver: Completion Date: Q Citizen Notified �=�i"�/ Request Number: 10358 Public Works Division Service Request Problem Address: 6151 Sth St Requested By: ' Sandi H Department: WATER Address: No address provided Problem/Issue: FINAL METER READING Phone Number: Scheduled Date: Scheduled Time: - ACTION NEEDED:Final reading.Clos' 7/24/15 T#33370889 Created by: Wendy Hiatt Date Created: 2015-07-24 ACTION TAKEN: .................................................. ................................................................................................................................................................................................................................................................................................................�..._...._....._.......____.. .............................................................��.�.-�.................�.:�..........5.......��.............................................................................................................._.._.._....................................._. _._. _. __ ............................................................................................................................................................................................................................................................................................................................_..........._...............__............................_...__........___ .............................................................................................................................................................................................................................................:..................................................................................................._..:....._........._.................._................_ ................................................................................................................................................................................................................................................................................:..........................................................__.._.:........_..._.____._.............._.__.......... ..............................................................................................................................................................................................................................................................................................................................................._._..........._.____._._............____...._ 5tatus: In Progress Resident Contacted '`p , Date Completed: Co p eted by: -� -��-� 5 r�y►� . Hiatt, Wendy From: Hara, Sandra Sent: Friday, July 24, 2015 2:09 PM To: Hiatt, Wendy Subject: Final meter reading needed Hi Wendy, I need a final AMR reading at 61515th St,they closed today. The ERT#is 33370889 Thanks&have a nice weekend Sandi Hara City of Fridley Utility Billing 763-572-3530 i