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� U\ INSTALLATION
u�nroF QUTOMATIC METER READER
FRIDLk,II
Address � c �' ��`�`���
Name � �Coi.:� T'�"'�.�� _
Date � ��-- ��
OId Meter Number ��
O!d Meter Reading � �
Replacement No. �F�m�
Replacement Reading �
Replacement Make �.��'�.�
ERT# ���� d�a r�.V
Replacement ERT#
Remarks
C���5- Signed:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3565
�jWe hereby authorixe the City of Fridley andJor its
employees ta 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
402.06j I also hold the C'�ty of Fridfey andiits employees harmless for any damages that n+ay occur
while doing this operation. This to include,6ut not limited to;valves,piping,walls�floors or the curb
' stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter)
Name: Address: � `�-��`� � �
Phone Number: Date: � �'��'r��
Signatare:
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER et02.WATER,STORM WATER.AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,63$,662,422,988, 1144, 1156� 1191)
402.05. PERMIT�EE
Prior to constructing or repair of any water or sewer line connecting the existing rnunicipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shaN pay a permit fee as provided in Chapter 11 of this Code. ARer such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawfut to cover any connecting line until an
inspection has been made and such cor►nectfan 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 initlal 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 lead has been extended to the property 4ine 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 tines
necessary for connection af 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 shaf{be charged for the costs of the
maintenance and/ar repairs, including any necessary street repai�s,at a�ate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewec service line from the premises to the main including debris clea�ing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land ar property. (Ref 638,1156,1191)
Request f+ar �ervir�e Report
_ �ity gf Fridley
F3t�erenc�Nc�: �t-11-3� �ate: 10I31I2Q17
R� T�rpe= k�sta�ANR n�et+e� Entereci By: Yf1+�dy h�ait
E�ar#mer�: Vtl�� Crtiaen N�ne: I�cttle Fetrcyw
Ad�� 59�L18 7TH ST NE Ca�ack Phcxre: �12-8G8-A45�
Sc�eduied Qate: 11lSJ�Qt l 11�30 AM '�;��S • P�ty(3wner:
Loe.a�io�[7d�ls: F�equest Details= krstaif AMR
�ction Taken:
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f�e�ans�P�san: �
Aipprov�:
C��Uake: � �zerr N�t#iec�
Request Number: 11864
Public Works Division
Service Request
Problem Address: 5908 7th St Requested By: Sandi Haza
Department: WATER Address: No address provided
Problem(Issue: F1NAL METER READING Phone Nnmber:
Scheduled Date: Scheduled'ISme:
ACTION NEEDED:Final reading. osing 8l18/16 E T#33370822
Created by: Wendy Hiatt Date Created: 2016-08-15
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been �_
Contacted
Date Completed: Completed by:
�-��-�6
Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, August 15, 2016 9:51 AM
To: Hiatt, Wendy
Subject: Final reading needed
Hi Wendy,
Hope you had a nice weekend! Need a final reading scanned at 5908 7th St for closing on 8J18J16. The ERT#33370822
thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
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