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Meter Swap �--��'� �'"�``?`�" 1��'.�-��'�,�. '� �' INSTALLATION v.�oF AUTOMATIC METER READER FRIDLEY Address ��`� 'EJ�� /� Name �,f�r1JC.�' '�I�MA-� Date �`�' ��T OldMeterNumber � �� Old Meter Reading �� Replacement Na � � ud J� Replacement Reading � Replacement Make � -Q�� ERT# � �� c�� (,�p ' Replacement ERT# Remarks: Signed: `��O �� 4��J � �� INSTALLATION �, .1 �.�� AUTOMATIC METER READER ERIDLEY / Address t[��.�,�2_(,�� - Name I�1�1C��D��S Date I� '" � ""'" �� Old Meter Number J o1, '� Old Meter Reading o� '�J � Replacement Na Replacement Reading Replacement Make ERT# ��3aa� �'� Replacement ERT# �� ' /�CQ�y " Remarks:l � �3u� � � Signed: Hara, Sandra From: Hiatt, Wendy Sent: Friday, October 05, 2012 1:19 PM To: Hara, Sandra Subject: 656 63rd Ave Pep replaced the ERT and tightened the packing nut. He didn't fill out a meter change slip. I will do it and bring it up on Monday. Wendy Hiatt Administrative Assistant City of Fridley '► Public Works Dept. � hiattw@ci.fridle,y.mn.us �� " ��J � , R�+q�# f+�r�rv�c:�: R K. �� . ��—�� d�: �}+�� Tj�e= r4MR� �nt�� We�Jr . Wa� � � �: ��A11E!� P�xne: �t-270��'�5f► 17�at+e: �l'�012 Z�iQ Pll �� ° t9wE�er: ��: ii�et O�eta�s: �. ��: +�Id �lle�r# �'j (� 3 �Id r��din�. � � .�� s� a yo� �� d��. � E�T� ��o a� 3� �� .� __�_._� �_ �_�_ _ � � �____ �___ _____.____ ________r�.___ ______�_____ ---.__. �: �--�,_ � _ � � � _ __ __m� ___ __..� � . f ♦ City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We , hereby authorize the City af 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 alt intesior p{umbing. (Per City code 402.06) i also hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this operetion. This to include,6ut not limited to;valves,piping,wails,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 f old meter) � �� v � Name: Address: �J�� Phone Number: Date: �` `�^ 1� Sigrtatar� . Witness Signature: FRIDLEY CITY CfJDE CHAPTER 402.WATER,STORM WATER,AND SANITARY 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 anq 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 conneetion 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 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 shall be liable for all�epairs 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 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,owner,octupant 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 will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) €��Uest fi+�S�t�c�: R� �i�y t�f fri�il� � t+�: �t-t�� t�: -�onr�trt2 �qe.e�T�e: - -ny�eter tap�ed} $�r: w�dy F� �rt� 1�Y� ��e� €.a�oe 7� Ad�� 65+6 A�#� _ fi�127'0�56 #.�IB��: ��1�:�� r ��'lilMCl1P1: • t.�r�: Eiequee'at t)eta�i: A1�t'�Ont'��orleaidsrg_ #�reck l�i. �io�eo�re�r�6a s�ad�at tis�ipe? ��r 1�,�cig airrae 11i�t� �ataied. P�e d� Ai�Ta�: /I,,-��'� 0?e��`� � O � d S��p /Ir..�;�`�,. � 5 9 2�� 3 Cv l� �-`-� �� 3 d 2- �� G�, r�` � -� �� ,� �� Y� �� r1h�� .� � 5 ��.� �� wt- o�, ��y ��.1�� _ , �___`._.____. _ ..��=_--____.___...____.r_ � i ��^ .. .,� �V�� . � . . �