Meter Swap '� f����4�s`t��-s��
� �'�{� INSTALLATION
c�.noF AUTOMATIC METER READER
FRiDLEY
Address ��l�i r�Z�) �C�Z7� ��
Name ���>�'-� 4"►-�t� (
i
Date �t'- �o�
Old Meter Number G l �� C�o�
Old Meter Reading f � S�
Replacement No. �� ��
Replacement Reading
Replacement Make �
ERT# �� /
Replacement ERT#
Remarks:
��� Signed:
R�ue�f f+�r;�er� F�
v ' �ify c�f Fndk�
�: �t11-12-� �a�e: 4.�t�12
T�� 1AMEi�� �.: �
[�p . Wa� �izen�: 6�.�es
�: 5�!' Eff tl�l+� . �1J-�29-0�304
Scf��d��ed�: �if�412��i �� F�+ap�jr t3wner:
7 Y l��
L�aa�[3e�a�s: Reqr�t 0eta�s: �
lyc�can Ta�s�
�I� ���r # I��`�i � ��2�
��� ,�����: '� � �`j � 5C�
���u �I��r # �3s� a�-1��
�I�ew �t�ading. �j
E�T�# 3�J��� ��
��� €
�_w____ .��_.� .�_._ .�__._______._..._.__. � ---._______
�= �
c __.__,�--��-- ��—.�_.._�
.
City of fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�/We hereby authorize the City of Fridley and/or its
employees to do what is necessary ta 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 plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless far any damages that may occur
while doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb
� stop box and service line. 1 understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old eter) ` �
Name���'l� 6vv�S Address� �! `d �N(GZT .1 � -
Phone Number: l� 0�� ^� Date:, �-l—��
Signature• �
Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566,629,638, 662,922,988,1144,1156,1191j
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anj+house
or 6uilding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and sha0 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 noti�ed. It shall be untawful 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 fine 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 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�esponsibility of the applicant,owner,occupant or user to pe�form standard maintenance of
the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the
water service curb stop box for operabitity and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
� �------_� �� �_�,� � _��_�
� � � - -
__wW__-- - ._.. _ .. .... _________________________._________ . .__ �
,
i =�
�
___.___.�__�.._______ �_____�_ _�.� .��� __________,
_ � � =:����
�
�
f
i(
€
�
P� ��"�'��
,
�
�
-�.��
� ��__.____��_�� . . _ �� � __ ��__. __�_ ._ .____ _� �_�_�_� ___ _ __. . �__.w __�
_ _i
.if�6F�WGti•G#Y�i33
����L��''
61-I�1'� ����`1�� -���, ����'�� •��
:�� r ��-Q�C''I/ ��.'Q�-'�� ��(I P'�f+�P�
=� �I�iI 113l�'tft� =�PP�/
:�t�} ��4A
=� � ���' =�1
Zi4UL�1'L ��� S£�S-Zl-1t}3 �'�P�I��ti
�P!�:� ���#�J �
��da�3� _ a� �} ��L�a�
J
F�iiatt, Wendy
From: Hara, Sandra
Sent: Friday, July 27, 2012 8:50 AM
To: Hiatt, Wendy
Subject: final AMR reading needed
Hi Wendy,
We have a final happening 7/31/12 and need the AMR scanned for a final reading.
The address is 570 Bennett Dr NE and the ERT# 33303187. The meter serial# is
43592430 if you want that too. Thanks
Sandi Hara
.
1