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Meter Swap '� ��.�a � 1��i 5—��5�.� INSTALLATION GN�. AUTOMATIC METER READER FRIDLEY Address ,,)��' -' �� Name F-'�� '1��c�•�c'��-- Date ��"� 1 �� Old Meter Number � , C� � Old Meter Readin � . �D�� Replacement No. E� � Replacement Reading �u Replacement Make ERT# �� Replacement ERT# Remarks Siqned: � C��a°� � , � � f � � � � i � � � ' � a � � � � � � � � � � � �� + � � '' I � � � �' � � � �., � � � ; � 4 � �„ , � � ; ; I I � � ' ` ' � # � { � � i � � � � I i i i �' � � � � � _ � ^ � � � � � , �+ � � � 1 � c� � ` � � � �l ; I ; � � ^ �..1/ F � I � � `^I' �..�.(j � t( � � t �i 1" � F { j g '.> >.,, ; � € � D � � � � � � � �, ; � � � t� � � � � � ! I ' � � � ; ; ; r � # : � ` � � � � � � � ^ � i i � � ` � �- ; � � � � i � � ; I � �; � E . � � � � ' i � ' � � � � � _ � _____� ____� � # � � � � ' � � � � € � . � �. .. .. � � � � � � - � � � � _ ._�_._______� . City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 I/we hereby aathorize the City of Fridley andJor its empioyees to do what is necessary to repiace the water meter. l 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 1 atso hold the City of frid{ey and/its employees fiarmless for any damages that may occur while doing this operatio�. This to include,but not limited to;vatves,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 readina(old meter� �� Name• Address• �Z��t� ' �Z�7( Phone Number: Date: ��`�q.�� Signature• � Witness Signature: FRIDLEY CITY CODE CHAPTER 4U2.WATER,STORM WATER,AND 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 af any water or sewer{ine connecting tfie existing municipal system and any house or buitding for which the application is made,the owner or contractor shall 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 TO CONNECTtON After the initial connection has been made to the water service curb stop box or the sewer lead at the properry line or a water service or sewer lead has been extended tothe property line for connectian,the applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises fsom 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/or 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 mainte�ance of • the sewer service line from the premises to tfie main including debris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) � + �\ � � � � � � `� \ � T � � � � � � � , _� � � ~ � � � �� { � � ' � � � � � , � , � � � ; � , � � ; ; �. �, � � � � o� � � � �' � � � � � � � � � � ,� ° � � _ _-- � � �� : � � . � � � W � � � � � � � � � � o � � � s _ � � � � � � � � �e, e� . `�6 � t1S � � � , � � � � � � � �� - � � � .. � , � :. � � � � . _ _ � _ __ _________ __ _ ____ . _�_.____ m__ _____._ � �t��t fi�� - �� _ �-�z-� �: -��r�o-�� T�_ s��-�,��r� �: r� t��: s� �� : ��sr� _ ��2-�as �= . �,€�: �,��: �c�,� �� :�� , � � � _ r.�� _ �� . � - ��_ � � �"� �, ��z�:r.r�+� c�� ._�m_�.._........�..._.___�_ _M�..._.........._..._._..................�