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G.��. AUTOMATIC METER READER
FRIDLEY
Address IE��r�,.�� ��t��`-�2��
Name / � L ��'.��C-Lt �'�L��-
Date�"�`-��
Old Meter Number �(.����C'J�
Old Meter Reading � �� ���
Replacement No. ����� ����
Replacement Reading �
Replacement Make � * ���
ERT# ��� �� ��Z
Reptacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
1/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
402.06j I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this aperation. This to include,hut not limited to;valves,piping�wallsr floors or the curb
stop box and service line. I understand I am also required to obtain a permit prio�to any work,if
necessary.
Finai meter reading(old meter) 1 �� � `�
Name: Address•_ ��' �1�N `✓�R��
Phone Number: Date: tn'�� � ��
Signature:
. Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STURM WATER,ANO SANITARY SEWER
ADMINISTRATION
(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 a�d anj+house
or buildi�g for which the application is made,the owner or contractor 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 suitabie connection.
402.05.REPAIRS AND MAINT�NANCE TO CONNECl'!ON
After the initial connection has been made to the water service curb stop box or the sewer 4ead 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 shalf be liabfe for ali repairs required to any wate�tine 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 shall be charged for the costs of the
maintenance and/ar 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 service line from the premises to the main including debris clearing or root cutting and to maintain the
water se�vice curb stop box for operability and at such height as will ensure that it remains above the fiinished
grade of the land or property. (Ref 638,1156,1191J -
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` Request Number: 9482
Public Works Division
Service Request
Problem Address: 6301 Van Buren St Requested By: Sandi Hara
Department: WATER Address: No address provided
ProblemlIssue: FINAL METER READING Phone Number:
Scheduled Date: 2014-11-21 Scheduled'1Time:
ACTION NEEDED:Final readin .Closing 11/21/14 ER 33371017
Created by: Wendy Hiatt Date Created: 2014-11-17
ACTION TAI�N:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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Hiatt, Wendy
From: � Hara, Sandra
Sent: a Monday, November 17, 2014 11:45 AM
To: Hiatt, Wendy
Subject: Final AMR reading needed
I feel like I have you on the HOT line today!
The property at 6301 Van Buren St is closing on 11/21J14 and we need a final meter reading scanned. The ERT#is
33371017.
Thanks.
Sandi Hara
City of Fridley
Utility Billing
763-572-3530
1
Request Number: 7909
Public Works Division
Service Request
Problem Address: 6301 VanBuren St Requested By: Jeff Cameran w/Caunsebr Reatly
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF Phone Number: 612-751-7366
ScheduledQate: ` � Scheduled Time:
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ACTION NEEDED: Tum on water sometime Tuesday, May 20, 2014. Lockbox 5211 "***BILL*""*
Created by: Wendy Hiatt Date Created: 2014-05-20
ACTION 7AKEN:
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_........................................................................................................................._............................................................................................................................................................................_......................................_........._.........____.__._..._.._..........__.
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
From: Hara, Sandra
Sent: Monday, May 19, 2014 3:30 PM
To: Hiatt, Wendy
Subject: Water turn on at street on Tuesday
Hi Wendy,
1 got a call from Jeff Cameron of Counselor Realty they need the water turned on at the street at 6301 Van Buren St NE
on Tuesday sometime. The lockbox code is 5211 and he wants a call after its turned on so he knows. His phone#is 612-
751-7366.Thanks.
Sandi Hara
Utility Billing
763-572-3530
i