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FWDLEY
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Name �C.�� �����
Date ��� ��
Old Meter Number
Old Meter Reading 1"� �
Replacement No: / `�
Replacement Reading�
Replacement Make
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Repiacement ERT#
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/ar its
emptoyees to do what is necessary to replace the wa#er meter. !understand that the property owner
is liable for the water line from the main to the premise and aii interior plumbing. (Per City code
402.06) t aiso hold the City of Fridley and/its employees harmless for any damages that may ouur
while doing this operation. This to include,but not limited ta;vaives,piping,walls,floors or the curb
� stop box and service line. !understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter readin old meter) � '� v
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Name• Address• � e�� '�-,���? � j'"
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Phone Number: Date: �"��r1�
Signature` + , ` � `
_ Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STt?RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,&38,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and 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 shall 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 notified. It shali be unlawful to cover any connecting line unti!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.
4U2.06. REPAlRS AND MAlNTENANCE TO CONNECTION
After the initlal connection has been made to the water service curb stap box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property�ine for connection,the applicant,awner,
or the occupant or user of such premises shali be liable for ail repairs required to any water line and sewer lines
necessary for connection of the premise5 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 responsibility of the applicant,awner,occupant or user to perform standa�d 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 operahility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 10214
Public Works Division
Service Request
Problem Address: 740 Bennett Dr Requested By: Sandi H
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING P6one Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Final reading.Clo 7/10/15 ER 33371149
Created by: Wendy Hiatt Date Created: 2015-06-22
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
_1��.- i S
�' 4
Hiatt, Wendy
From: , ` Hara, Sandra
Sent: � Monday, June 22, 2015 10:03 AM
To: Hiatt, Wendy
Subject: Final reading needed
Hi
I need a final reading at 740 Bennett Dr for a closing July 10th. The ERT#is 33371149
Thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1