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City of Fridley
Water Department
6431 University Avenue NE
. Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to repface the water meter. i understand that the property owner
is liable far the water line 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 harmiess 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. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)
Name� Address• �,�� �cj.-� ( -�` .L�_-
Phone Number Date•
Signature:
Witness Signature:
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER,AND SAfdfTARY 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 and any house
ar building for which the application is made,the owner or contractor sha11 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 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 TD CONNECTIUN
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{ead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liab4e for atl repairs required to any water line and sewe�lines
necessary for connection of the premises from the main to the premises, ff the property owner requests
maintenance service or repairs be performed by the City,the property owner sha{I be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,awner,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 wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)