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� U`� INSTALLATION
GNOE AUTOMATIC METER READER
FRIDLEY
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Name ��t S �Prt�� _
Date 5�d�— ��
Old Meter Number '7
Old Meter Reading � �
Replacement No. ���t'�`1� ��`��
Replacement Reading �
Replacement Make
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Replacement ERT#
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- City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley andJor its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liabie for the water line fram the main to the premise and all interior plumbing. (Per City code
40Z.06) i also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,walis,floors or the curb
� stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. �
Finai meter reading f old meter)
1 ��� ��
Name: Address: ���� �V���
Phone Number: Date: ��� �`�`
Signature:
. Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Nu 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 municipal system and any house
or building for which the application is made,the owner or contractor shall be required ta obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has 6een
made,the Water and Sewer Department shall be notified. It sha(I be unlawfuf to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connecfiion has been made to the water service curb stop box or the sewer(ead 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 shail be liable for all�epairs required to any water(ine 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 shali he 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 maintenance of
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 will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j