Meter Swap ` r• r �L
'_ 4 �,,,� �����`—�'l�cr�G=.
� �--'' �i INSTALLATION
uNOF AUTOMATIC METER READER
FRIDLEY
Address ��� ��� ��
Name����. \�3'T�
Date �"' ►�?— � d�
Old Meter Number ����$� "-��
Old Meter Reading � ` `, �
Replacement No. �� �,c���
Replacement Reading �
�
Replacement Make !.JF�����
ERT# F��� �1 � 1�/
Replacement ERT#
Remarks
�� Siqned:
F��t�st f�r�er� R�rt
, �ity a�f Friciley
�e€ C�: �t-12-497� �e: �u`121�(ll2
Tj�e� k�a�A�iR� �nt F�jr� W�redy Fi�
i��#: Wat� ���: t'aeo�e fi�e
Ad�_ +6361 �wB�E:E ST NE � 1�#�5�71�#72
�t�+e: Gl15P1ti1211 i1�J�M � �p�Ejr t�er:
i.�f:�a�: ��El�: +Mdi
A�TaF�en:
��Id �'let�r # .��ja`�j(�'j
�
�Id re�di��. f q �j� � ��
N+��nr �e�r# �(,'���? ��a� �
�,i+�w R�aciir�g: �
�E�T# ��J��d � �.
�___________ � _�____ __..._______r __ ______.._____.___ ._ �
���; E � .
�.__..._�__ . _.� .__ _.
E
4
� t
!4
4
F �. tl�
� c �
. � �__ � - :� __
� City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley andior its
employees to do what is necessary to replac�the water meter. I understand that the properly owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06j f also hotd the City of Fridley and/its employees harmtess for any damages that may occur
while doing this operation. This ta include,but not limited to;vatves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) r�� ` " �o
' Name• Address: � J�� � �`�
Phone Number: Date: l`���� Y� �
Signature:
. Witness Signature:
FRIDLEY CITY CODE
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 anj+house
or buildi�g for which the application is made,the owner or contractor shall be required to obtain a permit for such
� connection,and shatl pay a pe�mit 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 aeen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4U2.06. 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 sen►ice or sewer lead has been extended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shall 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. lf the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maineenance and/or repairs, including any necessary street repairs,at a raCe 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 o�root cutting and to rpaintain 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)
� � Request Number: 11986
Public Works Division
Service Request
Problem Address: 6361 Able St Requested By: Sue-Utility Billing
Department: WA1ER Address: No address provided
Problem/Issue: FINAL ME'IER READING Phone Number:
Scheduled Date: Scheduled 11me:
ACTION NEEDED:Final reading.Clo ng 9l2f 16 T#33303051
Created by: Wendy Hiatt Date Created: 2016-09-09
ACTION TAI�N:
� � �- �3���
_._.__......___....................��.�_...._......____.__.._._...._..........__..__...................._____�._._...................._..................________________.__. _.._..�._...._.___ _..
Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
���� �
,.
Hiatt, Wendy
From: Johnson, Susan E.
Sent: Friday, September 09, 2016 1:55 PM
To: Hiatt, Wendy
Subject: 6361 ABLE ST NE- Final meter reading
Hello,
Request for a�nal meter reading:
6361 Able Street NE
Closing date:9/2/16
Ert#33303051
Thank you,
Sue�uhnowc
City of Fridley
Utility Billing
763-572-3529
My office hours:
Tuesday-Friday
9:OOam -3:OOpm
�