Meter Swap ..++�.�.. vcNcre s788'�1/Y.
�431,�9n6v�rsity/1�►vena�e!VE
FradlQy, N!N 55432 .
753-572-356� �-� �'"C� ��-�J '� � �
� o a3 �� s
f�'A°� hereby authori2e the�'rty�f Fridley andJor its empioyees to a{o what is necessary to
re�face the water meter. !understand that the propea�i.y owner as liable for the water line#rom fihe main to tfie premise and aIl enterior
pPumb�ng. {Per Criy sosie�02.06� i also hvtd the�t�j of Fridley andJits employees harmfess for any�lamages that a�nay occur whiie doing this
operation. This to snclude,but noi lim�ted�to valves,�►iping,wal4s,#loors or ithe curb stop box and service iine. In understand 1 am also requir
to obtain a permit pr�or ta any�rortc,�f a�ecessary.
� � �
FIti1iAL IrAETER READIAiG(aict meterj
lvame: G�J�ZG�. +2: �iy E 1ZS��t' Address �.�!� t2c Cyr S t.�s'Z.�tE
Phone Mumber '��� 5��( �S'�3—`3 Date `� � ��
Signate�re � Witness 5ignat�sre �
o�D�,�r�R� �, ��0 � ��I,
OLD READING��1,����
RtEW METER#__ �`� l� `V����
NEW READI9VG �
ERT# 1 ��� �j� �� '
,
FR�n�er cmr coo�
CHAPTER B02.WATER,STORM WATER A9YD SANITARY SEWER
ADMIAIISTRATION
(Ref Ord No 113,464,SbS,�66,629,638,662,922,988,1144,1156,i191)
402.5 AERMtT FEE
Prsor to r,onstructing er repair of any water of sewer 4ine connecting the exisCing munidpaf system and arry trouse or Ewiidirig for which t6e
application is made,the owner or coma~actvr shall he required to abtain a permst for such connection,and shall pay a permit fee as prov7ded sn�
Chapter 11 of this Code. After such connection has bee�inade,the b6/ater and Sewer Departmer�t shall be rtot�ed. tt shall be unfawfut to cove
any connecting line ur�til an irtspectivn has been made and such connection and the+worlc inciderrt thereto has been appraved by the Ciiy as a
praper and sui#abte connection.
402.06 REPAIRS qND Mpf{y1'ENqWCE TO CONNECl1QlOt
After the ini�iai cannection has been made fio#he water service curb stop box or the seever lead at fihe praperty lirte or a water s�rvice lead 11as
been extended to fihe property line for conraection,the applicaat,owner,or ocwparrt o�r user of such premises shatl be tWi�e for a;�repa;rs
required ta ang water line and sewer lines necessary fvr connection of the premises from the main to the premises. If the prc�perty onrr�er
requests mairrtenance servPce or repairs be pe�formed by the C'rty,the property owner shafi he charged for the costs af the mairrcenance and/or
repair�s,includ�ng necessary street repairs at a rate set ans�ualfy by an admiaistrative policy. It shaN be the responsbility of the applicarrt,
owner,qccupant ar user to per#orm standard mairrtenance of the sewer senrice tine from t�he premises to fihe maia including clebris dearing or
roat cutting a�d to maintain the urater service curb stop box for operabili#y and at such height as wii!ensure Cfiat it remairis above the finisfied
grade af the fand or property. �Ref 638,1156,1192)