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Meter Swap S l v�;i5—L/`33�'?v '� V� �\ INSTALLATION ��.N� AUTOMATIC METER READER ERIDLEY �� Address � Name �l� ��1� Date�— �"'�� Old Meter Number �� 7 Old Meter Reading �� Replacement No. � ��5 ��/ Replacement Reading � Replacement Make ERT# �� Replacement ERT# Remarks: �� Signed: �: _� �.e.--- , , R�qllJe�� ft7Rr�e(�t�: R� �fiy af Friaidl�y � �� eat-rtz-a�� r�: ��r��2 Tj�e= I�:�1�i�t�eler �r� Weruiy ' Qep�� Wa� C.��`z��: ,b�t�sass �Id�= �1/�i 5T . �71-2�2 s�a�� sr�,�,�a�r �i� �►� m ��: P r��_ � ��: +�I+d l�N�t�r# � �� t:�l�d r�din�g: � ,,�`�C�� (� �1+�v�v �I��er# ��L� ,[�I+�w �eadin�: � � � ��'� ��j�o`�� _________� _.._ ___ _�____._.._____ �_. __ �.. ��_. �� ...__ _ _ _..�..__ ._____._ .� � � ,� � ___.�_. ______ __..__._.. _ ________.. ____._______._._ ______.. ��_ �- _� �� t� d �_��__�� _��_ � . y . . City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridley and/or its emptoyees to do what is necassary to replace the water meter. I unde�stand that the property owner is liable for the water line from the m�in to the premise and all interior plumbing. (Per City code 40Z.06� 1 also hold the City af Fridley and(its employees harmless for any damages that may occur white doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb stap box and service line. 1 understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading�old meter) ,.,� �� Name: Address: �� Phane Numbe • Date: � � � �� 5ignatu : � �� : Witness Signature: � �RIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156, 1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line cannecting the existing municipal 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 Qepartment shall be notified. It shall be unlawful to cover any connecting iine untiV an inspection has 6een 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 MAfNTENANCE TO CaNNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine 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 ae 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 hy the City,the property awner shall be charged for the costs of the maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsibifity of the applicant,owner,occupant or uset'to pecForm standard maintenance af the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished g�ade of the land or property. (Ref 638,1156,1191j . .._ _.... _.__ .. ��..._ � �__ �� J� ua� :� -___..._........ � _ __.._..._____�._.._.�.___........_.......__� � � � ._. ..____�.�..__.._. � . __..� � =�'�� '?�� I �M �vnS�� C1�'�' c�--�2�7� c�r�a►��'� ° ��w-,�, �M c�=�.-r� ��c��t ��='`� I � .�� _ � �� -�� -� =�� .�� =� �� -�� . �� ik�1 =�1 ' Zi.�T1t£l� -�� -ZL-LQ�9 ��