Meter Swap '_ �- � ����-Li �r���
� ��"���' INSTALLATION
�.N� AUTOMATIC METER READER
FRIDLEY
Address ��� J V�,�5�� � �7
Name �.JC��f ����������-)
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Date ,?c��- l�
Old Meter Number � 1 ���
OId Meter Reading y
Replacement No. ����'�Y
Replacement Reading �
Replacement Make �7 •
ERT# ��� [ �� �l
Replacement ERT#
Remarks
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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 andJor its
empluyees to do what is necessary to replace the water meter. I understand that the properly owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur
while daing this operation. This to include,hut nat limited to;valves,piping,walis,floors or the curb
� stop box and senrice line. I understand t am also required to obtain a permit prior to any work,if
_ necessary.
Final meter reading(old meter} �� �� �����
Name: Address: �� � ' Y�� ���
Phone Number. Date: � V"�r,� �
Signature:
. Witness Signatur . f"'"1lti��� ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
40ZA5.FERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall he required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shali be unlawfui 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 MAtNTENANCE'TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the property
line or a water service or sewer lead has been extended to the property line for connection,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 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 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,octupant or user to perform standard maintenance of
• the sewer se�vice{ine from the premises to the main inc{uding debris ctearing or root cutti�+g and to maintair�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)