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� � INSTALLATION
��.�� AUTOMATIC METER READER
FRIDLEY
Address (!'��� W���1JC>���
Name ��Gi��Ue ��Pc:
Date ��—��
Old Meter Number i � � �
Old Meter Reading 0
Replacement No. �
Replacement Reading �U
Replacement Make
ERT# c���� ���1�
_ 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 and f or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per Gty code
402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb
� stop box and service iine. 1 understand 1 am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterl ��� �
Name• Address• �� ,a ) �^1����'v ��
Phone Number: Date: 1��'�v'
Signature•
Witness Sig ture:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTR,4TION
(Ref�rd No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building 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 natified. It sha{I 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 Ct�NNECTION
After 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 ta the property Ilne 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 premi5es from the main to the premises. if the property awner requests
maintenance service ar repairs be performed by the City,the property owner sha{I be charged for the casts 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 maintenance of
the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the
water service curb stop bax for operabifity and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
l.
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