Meter Swap �'�����aa���
���� 4 � ��� �- r� �
Water�epartrvaeret �x'-i-F ['� '7r�
" C431 l�niversity Avenue�IE
� Fridley,MN 55432
753-572-3566
�,`"'e hereby authorize the City af Fridley artd/or its employees to slo sahat is necessary to
replace the water meter. i understand that the�roperly�wner is liable for the water line from the main to the premise and a(1 iriteerior
piumbing. (Per C'i.ry code 402.�6J 1 also hoid the City of Fridley and/its employees harmless#or arry damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,waiis,floors or the cur'b stop box end senrice line. In understand 1 am also requir�
to abtain a permit prior to any work,if necessary.
FlNAL METER READlNt6{old meter} � �� j �
Name: � �. ��� Address ��� � � S�
Phone Number ���� �� C7 pa� y �� 1��
�Signature Witness Signature
._._._
��
OLD METER# ���� Z-�Z
OLD READING _ -1, ` 1 (i' 1 �
NEW METER# —L� ��(��� lp
NEW READlNG �
E�T#�`�y 2 `-� ���
FltIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AiVD SANITARY SEWER
�1DMlMISTRATION
(ltef Ord No 113,464,565,566, 629,638,662,922,988,114�t,1156,1191j
402.5 PERMIT FEE
Prior to constructing ar repair of arry water of sewer line connecting the exisfing municipal system and any house or 6uilding for which ifie
application is made,the owner or corrtractor shafl be required to obtain a permit for such cron�ection,and shatf pay a permit fee as provided in
Chapter 11 of this+Code. After such connection has been made,the Water and Sewer Departme�shalt be notified. It shall be unlawfvl to cove�
arry connecting line until an inspection has been made and such connection and the work incident tfiereto has been appro�ed by the Qty as a
proper artd suitahfe connection.
s02.06 REPAtRS AND MAIIVTEIVANCE TO CONNECTION
After the initiat connection has been made to the water service curb stop boz or the sewer lead at the property line or a water service tead has
been extended to the property line for connection,the applicarrt,awner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary#or co�nection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the Crty,the property owner shall be charged for the costs af the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the resparisibility of the applipnt,
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 end to maintain#he water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade vFthe iand or propert+�. (Ref 638,1156,1191)