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INSTALLATION
crnroF AUTOMATIC METER READER
FRIDLEY
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Name �L.�i��<i �L�'��-�
Date C?—��`- 1�.
Old Meter Number
Old Meter Reading
, Replacement No. 3�a�qQ
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}572-3556
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liabie for the water line from the main to the premise and ali interior plumbing. (Per Clty code
402.06) 1 also hold the City of Fridley and/its employees fiarmless 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. 1 understand 1 am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� � � 1 � `,�
Name• Address• 1 1 !� � 07
Phone Number: Date: (�`��7► l�t�.1�_ ,
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Signature• �6'L.Csv`--�-�--l�S�
, Witness Sig�ature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER,AND SANITARY SEWER
ADMINIS7RA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402A5. PERMIT FEE
Prior to constructing or repair uf any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required�o 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 shali be unlawful to cover any connecting line untii 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. REPAIRS AND MAINTENANCETO CONNECTION
After the initiat connection has been made to the water service carb stop box or the sewer lead at the property
line or a water ser�ice or sewer lead has been extended to the property Ilne 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 shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. it shali be the responsibifity of the applicant,owner,occupant ar user to perform standard mai�te�ance 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 tand or property. (Ref 638,1156,1191j
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Req uest N u m ber: 6492
Public Works Division
Service Request
Problem Atidress: 590 Mississippi St Requested By: Tammy Chris6ansen
Department: WATER Address: No address provided
Problemllssue: READ METER(WATER) Phone Number: .
Scheduled DatP� . , 2013-07-26 Scheduled Time:
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ACTION NEEDED: Read meter. Closing 7/26/13 ERT#33302595
Created by: Wendy Hiatt Date Created: 2013-07-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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� Hiatt, Wendy
From: Christiansen, Tammy Marie
Sent: Wednesday, July 24, 2013 10:02 AM
To: Hiatt, Wendy
Subject: Final Meter Reading
Hello Wendy, please send the guys to 590 Mississippi St for final meter reading they are closing 7/26/13. ERT
#33302595. Thank you very much
Tammy C
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