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u.NOF AUTOMATIC METER READER
FRIDLEY
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� City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
IJuve hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water line firam the main ta the premise and all interior pfumbing. (Per City code
402.06) i also hoid the City of Fridley and/its empfoyees harmtess for any damages that may occur
while doing this operation. This to incfude,but not timited to;vatves,piping,waffs,fioars or the curb
� stop box and service line. i understand I arn aiso requirad to abtain a permit prior to any work,if
necessary.
Finaf ineter reading(old meter) ���� ��
Name: Address: ���� �� l.�"�
Phone Number. Date: �~ /� �
Signature:
. Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner ar contractor shall be required to obtain a pe�mit for such
cannection,and shail pay a permit fee as pcovided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. lt shall be unlawful to cover any connecting line untii 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 shait be liable for atf�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. {f 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 repaics,at a rate set annuatly by an administ�ative
palicy. It shatl be the responsibility of the applicant,owner,occupant or user to perform siandard maintenance of
the sewer service(ine from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop bax for operabifity 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: 7889
Public Works Division
Service Request
Problem A�ddress: 6212 Carol Dr Requested By: Sandi Hara
Department: WATER Address: No address provided
Problemllssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED: Finaf readi . Closing 5/20/14 ERT 3370931
Created by: Wendy Hiatt Date Created: 201405-14
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
SV�?-� �l�/ �
�'
Hiatt, Wendy
From: • ' ' Hara, Sandra
Sent: Wednesday, May 14, 2014 1:26 PM
To: Hiatt, Wendy
Subject: AMR final meter reading
Hi Wendy
I need an AMR read for a final bill at 6212 Carol Dr.They said Carol Cir. The closing is 5/20/14 and the ERT#is 33370931.
Thanks.
Sandi Hara
Utili�y Billing "
763-572-3530
1