Meter Swap � ��� �I S ALL�4TION
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c�roF AUTOMATIC METER READER
FRIDLEY
Address � ,���'`���. �� _
Name �L��t A �F;��._.
Date �-��� `��
Old Meter Number � 1 �
Old Meter Reading �l��
Replacement No. -, 1.���
Replacement Reading c%,�
Replacement Make���`� E�'�
ERT# � l�? ��� ��/
Replacement ERT#
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` � City of Fridley
Water Department
6431 Uni�ersity 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 replace the water meter. 1 understand that the praperty owner
is liable for the water tine from the main to the premise and ali interior plumbing. (Per City code
402.06) I also 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,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 meter reading(old meter) � `���� Q
Name: Address: r�W �l5�� �� —
Phone Number•
D te: � �` 1�
r
Signature:
�tness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINIST.�►TION
(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 application 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 unlawfut 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
propec and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion 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 ail 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 shal{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 shall be the responsibility of the applicant,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 wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
� Request Number: ll442
Public Works Division
Service Request
Problem Address: 1250 Mississippi St Requested By: Sandi Hara
Department: WATER Address: No address provided
Problem/Issue: FTNAL ME1ER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Fina1 reading.Cl sing 5/6/16 T#28801805
Created by: Wendy Hiatt Date Created: 2016-OS-10
ACITON TAI�N:
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Status: In Progress Resident Contacted ['1
Date Completed: Completed by:
��-
�- 11- �6
Hiatt, V�lendy
From: Hara, Sandra
Sent: Tuesday, May 10, 2016 12:41 PM
To: Hiatt, Wendy
Subject: final Reading needed
HI
Just talked to a woman who purchased a 3 unit at 1250 Mississippi St and closed on 5/6/16. The ERT#is 28801805
thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
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