Meter Swap �i��a-s�—�Ss�ZYti
'� v��� INSTALLATION
G.�� AUTOMATIC METER READER
FRIDLEY
Address �� �`� i�'� `Z"�`�-✓�,� �e�-
Name ` 1"� t 1ti.
Date �'���(� '� ��
Old Meter Number � � ��� �
Old Meter Reading �` ` � � �
Replacement No. �'� � �� �
Replacement Reading �
Replacement Make �
ERT# � � � �
Replacement°ERT#
Remarks:
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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
employees to do what is necessary to reptace the water meter. I understand that the property owner
is liable for the water line from the main ta the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur
whiie doing this operation. This to include,but not limited to;vafves,piping,watls,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.
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Final meter reading�old meter) � � �/ �
"' � 3 �"� �
Name: C - Address: .
Phone Number: Date: / � � �� ( �
Signature.
,
Witness Signature:
FRIDLEY CITY 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 anq house
or building for which the appiication is made,the owne�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 shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop box�r the sewer lead at the pcoperty
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 liabie for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to ihe 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 st�eet repairs,at a rate set annualty by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to pe�form standard maintenance of
the sewer service line fram the premises to the main including debris�clearing or root cutting and to maintain the
water serrrice curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 10492
Pubfic Works Division
Service Request
Problem Address: 6350 Jefferson St Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Tssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled TSme:
ACTIONNEEDED:Final reading.Clos' 8/28/15 E 33370933
Created by: Wendy Hiatt Date Created: 2015-08-28
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, V4�endy
From: Johnson, Susan E.
Sent: Thursday, August 27, 2015 3:48 PM
To: Hiatt, Wendy
Subject: Final Meter Reading
Hello Wendy,
Request for final meter reading:
6350 Jefferson St NE
ERT#33370933
Closing date:8/28j15
Thank you!
Sue,oHuzaan
City of Fridley
Utility Billing
763-572-3528
i
Request Number: 10468
Public Works Division
Service Request
Problem Address: 6350 Jefferson St Requested By: Sandi H
Department: WATER Address: No address provided
Problem/Lssue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Fina1 reading.Closi 8/28/15 RT#33370933
Created by: Wendy Hiatt Date Created: 2015-08-20
ACTION TAI�N:
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..........................................................................:................................................._..........._..............................................................................................................._........_...._..._______._._..._...........:___....._._._._.........._................_..............._................
........................................................................................................._....�..�..................................._................__..................................................._......................_.............._..............._..........__.....__................................__............_.........__......_�.._.._._...
......:..............................................................................................................................................................................................................................................._............................................._................___............_........._..........._..._.______.__........_......_..._
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Status: In Progress Resident Contacted (�
Date Completed: Completed b :
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