Meter Swap � ����� IINS ALLA ION �� �
'
crnroF AUTOMATIC METER READER
FItIDLEY �
Address S� `�!� 1 �lu.�rSC��I ���
Name Cu,SSati �. r� 1�/'�. +-„�1
Date � —�� � a'
Old Meter Number � 7 ��
Old Meter Reading �� `� r"� �
Replacement No. c5� � ��
Replacement Reading �
Replacement Make 0.� -
ERT# 3 3 3 � � 8 ��s'
Replacement ERT#
Remarks
i
`�,{� Signed:, �
Page 1 of 1 ^
Hara, Sandra
From: Hiatt, Wendy
Sent: Wednesday, March '14, 7012 8:12 AM
Ta: Hara, 5andra
Subject: 5740 Madison St
Hi Sandi. The carrect re,placement meter number for above address is:43592142
Wendy Hiatt
Administrative Assistant
City of Frid1ey'`��'"`�� � - �
Public Works Dept.
h iattw@ci,fridiey.mn.tas
• 3/14/2012 :.i�1� : . , . -
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�iiy'of Frid�ey
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A�d�: .�i7#t1 M�t�1:iT 1� . 763-�i45-1�d73
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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/or its
employees to do what is necessary to replace the water meter. i understand that the proqerty owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City caie
402.06) i aiso hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,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.
Final meter reading(old meter) �� �� � � �
Name• Address•
Phone Number Date:
1 � �� �
; Signature:�Jli}�_�t --n �'�.-
�"r.��'°`,Witness5ignature: ����'��
,,
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 any house
or building for which the appfication 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 shall be unlawful to cover any connecting tine 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.
402.86.REPAIRS AND MAINTENANCE TO CONNECTtON
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 liabie for atf 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 raCe set annually by an administrative
poticy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� '�` q tfie sewer service{ine from the prer►�ises to the main inciudtng debris clea�ing or root cutting and to maintain the
� water service curb stap box for opecability and at such height as will ensure that it remains above the finished
grade of the land or praperty. (Ref 638,1156,1141)