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��.R,� AUTOMATIC METER READER
FRIDLEY
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Old Meter Number ��
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Replacement No. � ���
Replacement Reading �
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Replacement Make
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City of Fridley
, Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridtey and/o�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 all interior piumbing. (Per City code
402.06) I atso hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,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. �� ^ ��
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Final meter reading(old meter)
Name: Address: E/�� � -
Phone Number: Date: '�
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,�22,988,1144,1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system ancJ any house
or 6uilding 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 connection has been
made,the Water and Sewer Department shali be notified. It shall be unlawful to cover a�y connecting line until an
inspection has 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4�2.06.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 he liable for all repairs required to any water fine and sewer lines
necessary for connection of the premises 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 fqr the co5ts 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,occupant or user to perform standard maintenence 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 operabiliry 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: 10650
Public Warks I?ivision
Seivice Request
Problem Address: 6362 Baker Ave Requested By: Sue J-Utility Billing
Department: WATER Addresss 6362 Baker A�
Fridley,NIN 55432
ProblemlTssue: FINAL METER READING Phone Number:
Scheduled Date: 2015-10-30 Scheduled 1�me:
ACTION NEEDED:Closing on 10/30-need final meter reading.ERT#33303044
Created by: Beth Kondrick Date Created: 2015-10-22
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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