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Meter Swap � �`�� INSTALLATION �G��v ' �.n� AUTOMATIC METER READER FRIDLEY Address /�' � �� `� Name ��71�' �,��..�� Date s�� Old Meter Number � Old Meter Reading � � � � Replacement No. Replacement Reading � Replacement Make ERT# ��i ,.7� >�1�,� Replacement ERT# Remarks: -�--� Signed: �� t _ ��ty�� F - ��; s��-��-a� ��: �7r�r�� T�e� ,IkM�i�- Ei�a. Fi�t �a�f: VYaFe� Crti�n�� jr P�t `k� �� 7�M7 Df�t� . �71-7�19 f�.��,�,, 4 ��,. a��JL�R/Y� � ///• ��U��.. Y � ! _ ��: +AINi Ac�cu�Ta�� Id �'le�er # �� Id reading: �' �� ew �e�� j�� +ew ��a�iing� � � ��T� ��a �ti � � � �� ; �. _� __�_ . .�_.�� _ �w�_ _ __�._.__�_._.�...��___�___._�_� � � - � ___ � _��A_�_.� �,��__ �� _� �_ — � _ ,�-��_��. � �r__ _ - City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 I/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 40Z.06) I also hotd the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but nat limited tu;valves,piping,walls,floars or the curb stop box and service line. I understand I am also required ta obtain a permit prior to any work,if necessary. Final meter readin old meter c�-�� E� ) Name: Address: O` �� " Phane Numher: Date: ��' v` � . Signature:� C��/�/ . Witness Signature: ''l `�t� FRIDLEY CITY CODE CNAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRQTION (Ref Ord No 113,464,565,566,629,638,662,922,488,1144r 115b,1191) , 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or buiiding 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 unlawfui to cover eny 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 repairs required to any water line and sewer lines necessary for cannection 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 awner shall be charged for the costs of the maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative Policy. It shail 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 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 638,1156,1191j � ��qt�t f�r�rvic� R �iiy c�f Fnd�y r�: ��-�2-�sa �: ��2 T�pe� �i�ecer r�g fl�r: w�r ��: VYa�ter Gtizex►�: Add�= r'�1 '' �!� . Schedc�d Or�e: €�ap�y t�nr�r: . ' a� � R�0�eta�s: SCaru Ai��or�at�ad`ng- �Y#33�126�"� �___. ___._. _�_ _.�� ._�e A�T�� l � [ r � i � � � � � I � ; � lZ�;�� ' � � � � , � i � � � � � � � � � ��._____. ��___ ��--__ ___ __.�_ __�___� � P �� .�__.�_ _�_�-----._._� _�_____________�..�..�______�_._ �: � �_��_ ___ ��__________.�_ __ . �_�__ _____.____ — �� _�_�� —� �� _�_ .�. �e. _ _� � � . Hiatt, Wendy From: Nara, Sandra Sent: Tuesday, August 28, 2012 3:08 PM To: Hiatt, Wendy Subject: Need final AMR meter reading H i, Can you have the guys scan an AMR for a final bill at 701 Bennett Dr? The ERT#33302611 and they are closing on 8/29/12. Thanks Sandi Hara City of Fridley Utility Billing 763-572-3529 � r 1