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'� '�,�'��� INSTALLATION
Gn� AUTOMATIC METER READER
FRIDLEY
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Name ��� 1��,4�
Date—��—�`'�� _
Old Meter Number ;4
Old Meter Reading ��
Replacement No. �
Replacement Reading �
Replacement Make .
ERT# J"3� Jl � ��CY� �
Replacement ERT#
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� - City of Fridiey
� Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
!/we hereby authorize the City af Fridley andJor its
emplayees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line firorn the main ta the premise and all interior plumbing. (Per City code
40Z.06j 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur
white doing this operation. This to include,but not lirnited to;valves.piping,walls,fioors or the cur6
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter readin old meter)_ ���� ��
gt l�
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Name: Address: �
Phone Numher; Date: '�✓� `y 1 •
Signature: ��
_ Witness Signature:
FRIDLEY CtTY CODE
CHAPYER 402.WATER,ST�RM WATER,AND SANITARY SEWER
. AQMIINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
40�A5. 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 shafl 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. lt shall be unlawful to cover any connecting line until an
inspection has 6een made and such connection and the work incident tk�ereto has been approved by the Crty as a
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proper and suitable connection. -��, �
4DZ.06. REPAIRS AND MAINTENANCE TO 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 shalt be 1ia61e for atl�epairs required fo any water line and sewer lines
necessary for connection of the prernises from the main to the premises. tf the property owner requests
maintenance service or repairs be perFormed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by an administrative
po(icy. 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,i156,1191y
.
Request Number: 9963
Public Works Division
Service Request
Problem Address: 516 54th Ave Requested By: Sue-Utliity Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
5cheduled Date: SchedWed TSme:
, �
�
ACTION NEEDED:Final reading.Closi�g 4/17/15 E T#33302700
Created by: Wendy Hiatt Date Created: 2015-04-10
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�.�_�� � ►�J�
�
Hiatt, Wendy
,
From: Johnson, Susan E.
Sent: ' �riday, Apri1 10, 2015 12:22 PM
To: Hiatt, Wendy
Subject: Final Meter Readin
Hello,
I have a request for a final meter reading.
Address: 516 54th Ave NE, Frid{ey MN
Closing date: 4/17/15
ERT: #33302700
Thank you!!
Sue jall�reo.t
City of Fridley
Utility Billing
763-5723528
1