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u.noF A�TOMATIC METER READER
FRIDLEY
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Date �°`��- ��- �
Old Meter Number c ���
Old Meter Reading J �
Replacement No. �J �J
Replacement Reading �
Replacement Make �
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Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I Jwe hereby authorize the City of Fridley and/or its
empiayees to do what is necessary to reptace the water meter. I understand that the property owner
is liable for the water line from tfie main to the premise and all interior plumbing. (Per City code
402.06) i aiso hotd the City of Fridley and/its employees harmfess for any damages that may occur
white doing this operation. This to inciude,but not limited to;valves,piping,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 meter) ��� [�
Name• Address• IGJI�l�� �����
Phone Number: Date: �'-1�______ ,
�__.__�
Signature:
Witness Signature:
fRIDLEY CITY CODE
CHAPTER 4U2.WATER,51'�RM WATER,AND SANfTARY SEWER `
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156, 1191)
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anj+house
or building 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
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 MAIN7ENANCE TO CONNECTiON
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property
line ar a water service or sewer lead has been extended to the property tine for connection,the applicant,owner,
or the occupant or user of such premises shaN 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 shalf be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annuaHy by an administrative
policy. It shal{be the responsibility of the app�icant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop bax for operabifity and at such height as wilf ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
� Request Number: 11183
Public Works Division
Service Request
Problem Address: 6181 6th St Requested By: Sandi Hara
Department: WATER � Address: No address provided
ProblemlIssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled TSme:
ACTION NEEDED:Final reading.Closin 2/25/1 ERT#33302592
Created by: Wendy Hiatt Date Created: 2016-02-10
ACTTON TAKEN:
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Status: In Progress Resident Contacted f_]
Date Completed: Completed by:
.,,� ,— �
� � ��
Hiatt, lh°endy
From: Hara, Sandra
Sent: Wednesday, February 10, 2016 8:18 AM
To: Hiatt, Wendy
Subject: Final reading needed
Hi Wendy
I need a final reading at 61816th St for a closing on 2/25/16. The ERT#is 33302592
Thanks
Sandi Hara
City of Fridfey
Utility Billing
763-572-3530 �
1