Meter Swap � �`���' INSTALLA►T ON ���
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uNOF AUTOMATIC METER READER
FRICJLEY
Address ����L.� ��
Name �.�� C��l,
Date �"��—��
Old Meter Number � �
Old Meter Reading 1 �"'� a�.� ���
Rep{acement No. a�J
Replacement Reading (�
Replacement Make - � ���
ERT# ���'7a C��
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City af Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the prernise and all interior plumbing. (Per City code
402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but nat limited to;valves,piping,walls,floors or the curb.
� stop box and service fine. i understand i arn aiso required to obtain a permit prior to any work,if i� �'
necessary.
Final meter readin old meter) � ���� � . �
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.�\ ��.�� �2. `� �
Name� Address. _
Phone Number: ate: ~ `"` �
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, 1144,115fi,1191)
402.05. PERMIT FEE
Prior to constructi�g or repai�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 shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has be����
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line unfit�i'r�,,
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 MAIN7ENANCE 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 Ilne 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 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 casts of:tl'r� ,: Y
maintenance and/or re pairs, 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 maintenance o'F'=„`
the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or praperty. (Ref 638,1156, 1191)
R
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Req uest N u m ber: 6685
Public Works Division
Service Request
Problem Address: 621 Bennett Dr Requested By: Tammy Chris6ansen
Department: WATER Address: No address provided
Problemllssue: READ METER(WATER) Phone Number:
S ed Date: Scheduled Time:
1�� ^ 1�.�-s. � 13��`
ACTION NEEDED: Closing 8/13/13 ERT#33370850
Created by: Wendy Hiatt Date Created: 2013-08-12
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�-�3 -l 3 ��.--�
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Hiatt, Wendy
From: Christiansen, Tammy Marie
Sent: Monday, August 12, 2013 1:07 PM
To: Hiatt, Wendy
Subject: 621 bennet dr
Wendy, please ask guys to do final meter reading on above property that is closing 8/13/13. ERT#33370850
Thank you
Tammy C
1