Meter Swap � �C.r�"�� INS ALLA ION���v
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G.n� AUTOMATIC METER READER
FRIDLEY
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Name �'h� ��LL.�ti..?�
Date k T ��;��
Old Meter Number "1 �� �
Old Meter Reading . 1 � 1
Replacement No. ��
Replacement Reading �
Repiacement Make ����"�Z
ERT# ���� � � 1 ✓
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 replace the water meter. I understand that the properly owner
is liabie for the water line fram the main ta the premise and all interior plumbing. (Per City code
402.06j i aiso hold the City ofi Fridley and/its employees harmiess for any damages that may occur
while daing this operation. This to include,6ut not limited to;va4ves,piping,walis,floars o�the curb
� stop box and service line. I understand l am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading f old meter) � �
Name: Address•_ `v --
Phane Number: Datp� �� ���
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)
4Q2.05.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 he required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chaptec 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 thereto has been approved by the City as a
proper and suitable connection.
402.06. 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
iine or a water service or sewer lead has been extended to the property fine for connection,the applicant,owner,
or the nccupant or user of such p�emises shall 6e liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the p�emises. If the property owner requests
maintenance service or repairs be perFormed by the City,the property awner shali be charged for the costs of the
maintenance and/or repairs, incfuding any necessary street repairs,at a rate set annua{ly by an administrative
po(icy. tt shall be the responsibi(ity of the applicant,owne�,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 seNice 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)
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Request Number: 11132
. Public Works Division
Service Request
Problem Address: 6310 Quincy St Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL ME1ER READING Phone Nwnber:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Final reading.Closi 1/28/16 ER 33370927
Created by: Wendy Hiatt Date Created: 2016-01-21
ACTION TAI�N:
.............................._....................... ........:..... �..�.._.`...-...............��....�........-..?.....�..r..�... .................._......................................_..........................:............_.__..............__.__._.....__..............__v..........._..........__..
_........................................................................................................................................................................_........................................................:_..............._............................___...............................___............._............._._.........._.._.__.__...........
Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
� ^� � ��
Hiatt, Wendy
From: � Johnson, Susan E.
Sent:,- Thursday, January 21, 2016 1:06 PM
To: Hiatt, Wendy
Subject: Final Meter Reading
Here's another final meter reading request:
6310 Quincy St NE
Closing date: 1/28/16
Ert#33370927
Thanks,
Sue ja�noon
City of Fridley
Utility Billing
763-572-3529
My office hours:
Tuesday,Thursday& Friday
8am -4:30pm
1