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Date_��L�` ��
Oid Meter Number � � �
Oid Meter Reading �
Repiacement No. � � �
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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 repiace 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
40Z.06} f atsa hofd the City of Fridley andJits employees harmtess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,fioors or the curb
� stop box and service line. I understand I am also required to ubtain a permit prior ta any work,if
necessary. �� � ���
Final meter reading(old meter)
Name: Address:�`�`-� ' ,�"�` L� �
Phone Number: Date: ���(� •
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Signature:
Witness Signature:
fRIDLEY CITY CODE
CHAPT�R 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref�rd No 113,464,565,5b6,6�9.,638, 662,922,988.1144,1156,1591)
402.05. PERMIT FEE
Prior tv constsucting or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall 6e required to obtain a permit for such
connectlon,and shali 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 work incidenC thereto has been approved by the City as a
proper and suitabie connection.
4Q2.06. REPAIRS AND MAIN7'ENANCE TO CONNECTION
After the initial connection 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,
ar the occupant or user of such premises shall he fiabte for all�epairs required ta any water 4ine 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 ofi the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
po(icy. 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 bax for operabi{ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
,�
.
' Request Number: 12118
Public Works Division
Service Request
Problem Address: 850 W Moore Lake Dr Requested By: Sandi Haza
Department: WA1ER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
SchedWed Date: Schednled 11me:
ACTION NEEDED:Final reading.Cl sing 10/28/ 6 ERT#33370882
Created by: Wendy Hiatt Date Created: 2016-10-20
ACTION TAI�N:
.. _._..____. _. __ . ����.��._.�_�..._..`.��.._.�..�..1____.______....____._...._ _._____._ __ _
Status: In Progress Submitter Has Been r.
Conts�cted
Date Completed: Completed by:
l d ��!�--�b
Hiatt, We�dy
From Hara, Sandra
Sent: Thursday, October 20, 2016 12:09 PM
To: Hiatt, Wendy
Subject: Need final reading
Hi
Another final reading for 850 W Moore Lake Dr for a closing on 10/28/16. ERT#33370882
Thanks
Sandi Hara
City of Fridley
Utility Bilting
763-572-3530
1
�L . . . . . .. . .
Request Number: 8502
Public Works Division
Service Request
Problem Address: 850 W Moore Lake Dr Requested By: Kelly-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Fina1 reading.Clo ing7/21f 14 ER 3370882 '
Created by: Wendy Hiatt Date Creat�d: 2014-07-17
ACTION TAI�N:
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.....................................................................__...._...�...................................................................................._................................................................................................._....._._...............................__............................................._....._.._...................._._....
................................................................_......................................,........................................................................................................................................................................................................................................_.__.............................__.___.._._.............
.........................................w....._............................................................,...........................................................................................................:..............._....................................................................................................................._....................................._.............
Status: InProgress ResidentContacted Cl
Date Completed: Completed by:
�� ��- I `�
Hiatt, Wendy
From: ' Kraus, Kelly
Sent: � '�hursday, July 17, 2014 1:36 PM
To: Hiatt, Wendy
Subject: Final Reading
Hi Wendy,
Can I get a final reading at the property below?
Address: 850 WEST MOORE LAKE DR NE
Closing: 7-21-14
Meter#: 43861758
ERT#: 33370882
Thanks&best regards,
Kelly Kraus
Utility Billing
City of Fridley
Kelly.Kraus@FridlevMN.�av,
763-572-3528
1