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� INSTALLATION
ciNOF AUTOMATIC METER READER
FRIDLEY
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Name ��/L.�S �,►.5�bt'Z�
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Old Meter Number J ��
Old Meter Reading
Replacement Na ��R����
Replacement Reading Q�
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Replacement ERT#
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C�ty 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. I understand that the property owner
is liabie for the water line from the main to the premise and all 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 include,but not limited to;valves,pipin;,walis,floors or the curb
' stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterf � � ���
Name• Address: � ��' � 'C/T� 57
Phone Number: Date: ✓—"�`�Y/�
Signature:
Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITQRY 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 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 shall be uniawful to cover any connecting qne 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.
4Q2.06. REPAIRS AND MAlN7ENANCE T�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 awne�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,awner,occupant or user to perform standard maintenance of
the sewer service line fram the premises to the main including debris ciearing 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 ar property. (Ref 638,1156,1191)
,
Request Number: 9587
Public Works Division
Service Request
Problem Address: 6121 6th St Requested By: Sandi Hara
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled TSme:
F�,
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ACTION NEEDED:Fina1 reading. losing 12/8/14 E T#33382366
Created by: Wendy Hiatt Date Created: 2014-12-10
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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Hiatt, Wendy
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From: - Hara, Sandra
Sent: Tuesday, December 09, 2014 3:40 PM
To: Hiatt, Wendy
Subject: Final meter reading needed
Hi Wendy,
If you come to City hall tomorrow after 9am stop by my area to meet my new UT employee,Sue Johnson. She'd like to
meet you too.
Also can you have the guys go scan the,4MR at 61216th St NE for closing on 12/18/14? The ERT#is 33382366.
Thanks!
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1