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G.N� AUTOMATIC METER READER
FRIDLEY �
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Old Meter Number 50�
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Replacement No. U`O � V-t
Replacement Reading �
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763j 572-3566
�(We hereby authorize the City of Fridley and/or its
err�ployees ta do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water tine from the main to the premise and all interior plumbing. (Per City code
402.06} i alsa hold the City of Fridley and/its empioyees harmless for any damages that may occur
whi{e doing this aperation. This ta include,bat not(imited to;vatves,piping,walis,floors or the curb
stop 6ox and service line. I understand 1 am atso required to obtain a permit priar to any work�if
necessary.
Finaf ineter reading(otd meter} �� ��O
Name: Address: �� `����
Phone Number: Date: v��—��
Signature: K do cz�C-�,� � ---1`��--�
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. Witness Signature: ���'��� .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629, 638, 662,922,988.1144;1156, 1191)
402,Q5. 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 shatl 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 noti�ed. It shall be unlawful to cover any connecting line until an
inspection has heen made and such connection and the wark incident thereto has been approved by the C'ity as a
proper and suitable connection.
4a2.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer fead at the property
line or a water service or sewer lead has been extended to the property fine for connection,the appficant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer fines
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 repairs,at a rate set annually by an administrative
policy. It shall be the re5ponsibility of the appticant,owner,occupant or user to petForm standard maintenance of
the sewer service line from the premises to the main inc{uding debris ctesring or root cutting and to maintain the
water service curb stop box for operability and at such height as wil!ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191j
.
Request Number: 10733
Public Works Division
Service Request
Problem Address: 1508 Gardena Ave Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTiON1VEEDED:Final reading.Clos' 10/30/1 RT#33302632
Created by: Wendy Hiatt Date Created: 2015-11-03
ACTION TAI�N:
__............_......:............................................................._........................................................................................................_...............,.......:.............................................._.................._..........................................._.._........_.__.�..____................_.__...._.....__
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Status: in Progress Resident Contacted [�
Date Completed: Completed by:
�� ����
Hiatt, Wendy `
From: Johnson, Susan E.
Sent: Monday, November 02, 2015 4:31 PM
To: Hiatt, Wendy
Subject: Final Meter Reading
HeNo Wendy,
Request for final meter reading:
1508 Gardena Ave NE
Closing date: 10/30/15
Ert#33302632
Thank you,
Sue ja/fnaara
City of Fridley
Utility Billing
763-572-3529
My office hours:
Monday,Thursday& Friday
8am-4:30pm
1
1
Request Number: 10638
Public Works Division
Service Request
Problem Address: 1508 Gazdena Avenue Requested By: Sandi-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: F1NAL METER READING Phone Number:
����� ��
ScheduledDate: 2015-11-01 r � � �� Schednled'Iime:
C�„' �j �`�'�'.
ACTION NEEDED:Final Read.Closin on 11/1/15 E 33302632
Created by: Beth Kondrick Date Created: 2015-10-20
ACTION TAI�N:
.........................:..................................................................................................................................................................................::......._............................_...................................................._.._._.._..__.........._...�....._.........M................__...._.__._
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.................................................................................................................................................._....................................................................................._..._...................................................._..............__.._.___...._.......__..._......_._...._...___....._.__
Status: In Progress Resident Contacted t�
Date Completed: Completed by:
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