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Meter Swap ��`iL.��-�t�s�c°y� '� �-`��"�� INSTALLATION �.NOF AUTOMATIC METER READER FRIDLEY Address �,C )��A��Sti Name �'� �tt�'KrMPs� Date �� — l ,,,r� Old Meter Number �� Old Meter Reading Replacement No. � �fl Replacement Reading � Replacement Make � -�, ERT# c.�� V� ��, �1 Replacement ERT# Remarks �,.�a�? Siqned:� 4 R�qt�es� f+r�r�r� R �i#y of Frid� � � ��m_ ��-�z-aaa� ��: �r�ar��2 � T�: t��t,�� : t��:� w�,� t��: ��r�� : �M��sT�iE . ��57 �= ��^ i� � 1c�-3Dam � ��: .—�-�u�. . ��: � �� i� �� `a; f�13� ��d r�d�n�: ��`� �b ��+I�w �H+��r ## L�� 1�er�r �+eading. � . -� �`�� 3 � _ , � � �___�_�________�_�_____ _ __ __.__�._________� ____ �--- �'�:� � ____.�-_� .._.,�_� ___�� . ' - 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 property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 40Z.06) 1 also hoid 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,walls,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 mete�reading(old mete, �� `�� Name• y��ddress• ln�Cl`� 1 �' I��II� _ Phane Number: Date: �'1�� Signature: . Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER ADMIN ISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191) 402.05. PERMIT FEE Prior#o 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 owner or contrador shall be required to obtain a permit for such connection,and shail 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 wark incident thereto has been approved by the City as a proper and suitable connectian. 4�2.06. 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 appiicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water fine and sewer lines necessary for connection of the premises from the main to the premises. lf the property owner requests maintenance service or repairs be performed by the City,the property owner shall he charged for the costs of the maintenance and(or repairs, inc{uding any necessary street repairs,at a rate set annuaily by an administrative policy. It shall be the responsibility of the appiicant,uwner,occupant or user to pe�form 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 638,1156,1191� Request Number: 11990 Public Works Division Service Request Problem Address: 6320 Madison St Requested By: Sandi Hara Department: WA1ER Address: No address provided Problem/7ssue: FINAL METER READING Phone Number: SchedWed Date: Scheduled'Rme: ACTION NEEDED:Final reading.Cl ing 9/23/1 ERT#33370982 Created by: Wendy Hiatt Date Created: 2016-09-13 ACTION TAKEN: ��c�- 13d�t o Status: In Progress Submitter Has Been r Contacted . Date Completed: Compieted 6y: � � ��'� � a� `c� , � , Hiatt, Wendy From: Hara, Sandra Sent: Monday, September 12, 2016 3:32 PM To: Hiatt, Wendy Subject: final reading needed Hi We have a closing on 9/23/16 for 6320 Madison St and need the meter reading for the�nal bill. ERT#33370982 Sandi Hara City of Fridley Utility Billing 763-572-3530 1