The URL can be used to link to this page

Meter Swap '_ ,; �� / �'t(v l S-Y4��')�rzJ � v INSTALLATION u.nroF AUTOMATIC METER READER F�� Address {�� `" � �"—"�7 Name �:iZ+�� ►�i��. Date � -�t� '"� •:7'` Old Meter Number �h a � Old Meter Reading (�� Replacement Na i: � Replacement Reading Replacement Make ^ < ERT#��C�—t_� ReplacementERT# Remarks: t Dtl g Signed: ,. ��qt�e�t fc�r�r�ic� R�p�►r# � �,r c�f Fridl�/ Ref �a�: ��-��-9�� C3a��: �+'1�1z �T�pea /!�R n�et�x � €#y: Idl��r#�att t� . Wa�� . t.� ' �� 19�i�'Til�T 1� �c�� 763-��-�08 �= 3r�11�412��M �� . . Eieaq�,eat tlda�s: +R 1�t Aic�t Tak�_ �t�l�i �et�r #� �: �� a� � ��Qid r�adic��: �Q� �q,(� � � ��1+�vur ��:�r # ��c'�� I � � ��v ��adir��: � � � � � , ;��-�� 3-��1 p��,°I � � � , � � � �______ � �_ _ ___ _. ____� �______ _ w �� _�___ _. ____ �� ______________�� ; � ....� _ .... ___. _._.�_______. _ ._.�_________.�....a �- I � __ _ . .... __.__ _.. _e .._._. _ . ._ _ _ --- ____. ._.__..___1 � � , �� j � � � _�_ _� �%__ � _ � � i 5 �� ___.� � r City of Fridley Water Department 6431 University Avenue NE Fridtey,MN 55432 (763)572-3566 Ijwe hereby authorixe the City af Fridfey andjor its empioyees to do what is necessary to replace the water meter. 1 understand that the property awner is tiable for the water fine from the main to the premise and afl interior plumbing. (Per C.�ty code 402.06) i also hold the City of Eridley and/its employees harmless for any damages that may occur while doing this operation. 7his to include,but not limited to;valves,piping,walls,floors o�the curb stop box and service line. 1 understand t am also required to obtain a permit prior to any work,if necessary. Final meter readtng(old meter) � �� ' �� Na � Address• ��Q� {�� Phone Number: Date: {—�l�,l� , r f1 Signature: �(9Z�...ry �= _� �d� Witness Sig�ature: FRIDLEY CtTY CODE � CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,555,566,629,638,662,922,988,1144,1156,1191} 402.05. PERMIT FEE Priar to constructing or repair of any water or sewer line�connecting the existing municipai system and any house or building for which the apptication is made,the owner ar contractor shaN be requi�ed to obtain a permit for such � connection,and shatl pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartment shall be notified. It sha{{be unlawful to cover any connecting(ine 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 MAINTENAMCE TO CONNECTION Afte�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 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. tf the property owner reguests maintenance service or repairs be pertormed by the City,the property owner shall be charged for the costs of the maintenance andJor repairs, including any necessary street repairs,at a rate set annually by an administrative policy, ft shall be the responsibility of the applicant,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 and to maintain the water ssrvice cur6 stop box for operabifity and at such height as wiff ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)