Meter Swap '� .�,.—�:�— � (�tv�'!5-,Y'7��-ic'v
� v` INSTALLATION
G.�� AUTOMATIC METER READER
FRIDLEY
Address ���� � R `
Name_ ��t�� �f I�+ccCl.��
Date �— �Z—��
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01d Meter Number � �� ��
Old Meter Reading � ��
Replacement No. ��, ,�'�C'L_ �1�
Replacement Reading �
Replacement Make
ERT# ���� �5 $a
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��WQ hereby authorize the City of Fridley and/or its
employees 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 hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walis,floors or the curb
� stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
���5 ���
Final meter reading(old meter) �
Name• Address• ���
Phone Number. e' J�'��
Signature:
. Witness Signature: - _--- -�'""�
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488, 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 buflding for which the application is made,the owner or contractor shall 6e 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 shall be unlawful 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. REPAtRS 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 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 sefi annually by an administ�ative
policy. It shaii be the responsibility of the appiicant,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
Request Number: 9601
Public Works Division
Service Request
Problem Address: 5705 Jackson St Requested By: Sandi Hara
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled TSme:
ACTION NEEDED:Final reading.Clo ng 12/1 /14 E TI#333Q2582
Created by: Wendy Hiatt Date Created: 2014-12-15
ACTION TAI�N:
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Status: in Progress Resident Contacted Cl
Date Completed: Completed by:
, � lb- �� .
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N
t
Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, December 15, 2014 2:46 PM
To: Hiatt, Wendy
Subject: amr final reading
Hi
Another closing on 12/12J14 at 5705 Jackson St NE. The ERT#is 33302582
Thanks.
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1