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� INSTALLATION
v.��. AUTOMATIC METER READER
FRIDLEY
Address ��� � �'����( �
Name W�� �15�E�
Date �l�`��
Old Meter Number � ���
Old Meter Reading 15 5 ��
Replacement No. �3�J� ���{
Replacement Reading �
Replacement Make � i
ERT#�_t� �U(�
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 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 to the premise and ali interior plumbing. (Per City code
4U2.05) i also hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,6ut not limited tu;valves,piping,walts,floors o�the curb
� stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) 1 � �� 1
Name� Address• ��=��� ��
Phone Number: Date: �����,.^_ ,
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Signature• o°
. �tness Signature:
FRIDLEY CI'TY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord tVo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402A5. PERMIT FEE
Prior to construct�ng or repair of any water or sewer line connecting the existing municipaf system and any house
or building for which the application is made,the vwner or contractor shail 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 heen made and such connection and the work incident the�eto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECT{ON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
fine or a water service or sewer tead has been extended to the property llne for connection,the applicant,owner,
or the occupant or user of such premises shai�be liabte for all repairs required to any wate�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, ir►cluding any necessary st�eet repairs,at a rate set annuaNy 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 operabi{ity and at such height as wi{I ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 6224
Public Works Division
Service Request
Problem Address: 6280 6th St Requested By: Cirizen
Department: WATER Address: No address provided
Problemllssue: OTHER Phone Number: .
Scheduled Date: Scheduled Time:
ACTION NEEDED: There was a water break last year and the Ciiy is patching today 6/3/13. Citizen noticed�at
a sink hole was forming up in the yard.
Created by: Wendy Hiatt Date Created: 2013-06-03
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ACTION TAKEN: �
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Status: In Progress Resident Contacted � •
Date Completed: Completed by:
Hours
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Request Number: 8761
Public Works Division
Service Request
Problem Address: 6280 6th St Requested By: Kelly-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FIlVAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Fina1 meter reading.Closi !18l14 ERT# 3303080
Created by: Wendy Hiatt Date Created: 2014-08-I 1
ACTION TAI�N:
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Status: In Progress Resident Contacted CJ
Date Completed: Completed by:
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Hiatt, Wendy
From: Kraus, Kelly
Sen't: Moniiay,Hugost i i,2C�'14 i 1:�4 HN'i �__.._ ___ ._._,-. ____
70: Hiatt, Wendy
Subject: Final Reading
Hi Wendy,
Can I get a final meter reading for the following property:
6280 6 ST NE
Closing: 08-18-14
Meter#: 43592374
ERT#: 33303080
Thanks&best regards,
Kelly Kraus
Utility Billing
City of Fridley
KeIIv.Kraus@FridleyMN.�ov
763-572-3528
1