Meter Swap � (J�'� INSTALLATIOtN ��
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��� AUTOMATIC METER READER
FRIDLEY
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Name A� �r�"TA�
Date �-��`���
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Old Meter Number �� �I 't���4�
Old Meter Reading ��
Replacement No. ��� l �
Replacement Reading (�
Replacement Make � �
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ERT# �,��� � -6� r� �
Replacement ERT#
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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 property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also hoid the City of Fridley and/its employees harmless for any damages that may accur
while doing this operation. This to inciude,but nat 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: ��d��"��
Signature•
Wltness Signature:
FRIDLEY CtTY COQE
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. PER IT FEE
Prior to con ructing or repair of any water or sewer line connecting the existing municipal system and any house
or building fo which the application is made,the owner or contractor shail be required to obtain a permit for such
connection, nd shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the W ter and Sewer Department shall be notified. it shail be unlawful to cover any connecting line until an
inspection ha been made and such connection and the work incident thereto has been approved by the City as a
proper and s itable connection.
402.06. REP IRS AND MAIN7ENANCE TO CONNECTION
After the initi I connection has been made to the water service curb stop box or the sewer lead at the property
line or a wat r service or sewer lead has been extended to the property ilne for connection,the applicant,owner,
or the occup nt 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 ownerrequests
maintenance ervice or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance nd/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer ser ice 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 I nd or property. (Ref 638,1156,1191)
Request Number: 5701
Public Works Division
Service Request
Problem Address: 6540 Sfinson Bl�d Requested By: Sandi Hara
Department: WATER A�ddress: No address provided
Problemllssue: READ METER(WA1ER) Phone Number:
ACTION NEEDED: Scan AMR for final reading. ERT#33370998 Closing was several weeks ago.
Created by: Wendy Hiatt Date Created: 2013-02-19
ACTION TAKEN:
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Status: In Progress Hours: �
Date Completed: Cotrq�leted by:
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Hiatt, Wendy
From: Hara, Sandra
Sent: Tuesday, February 19, 2013 9:01 AM
To: Hiatt, Wendy
Subject: AMR Final meter reading needed
Hi
I need a final meter reading at 6540 Stinson Blvd NE as soon as the guys have time. They closed several weeks ago. The
ERT#is 33370998. thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3529
1