Meter Swap '� �-� 1 '�S"��"-����-�
� D� INSTAL TION
u.�� AUTOMATIC METER READER
ERIDLEY
Address 1��� " �-J�''—��'
Name—s� 1..,�1'T��.v�
Date ��" �d
01d Meter Number �"l�c ,_1�
Old Meter Reading ``i � �
Replacement Na � �'�'�
Replacement Reading_�
Replacement Make ��s�
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Repfacement ERT#
Remarks:
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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 and/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 City 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 not limited to;valves,piping,walis,floors or the curb
� stop box and service line. I understand I am also required to obtafn a permit prior to any work,if
necessary.
Finai meter reading(old meter) � � ��-/ ��
Name: Address: �C��J � 5J=-=— �7
Phone Number: at l�"'�'��
f
Signature:
. Witness Signat re:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTftAT10N
(Ref Ord No 113,464,565,566,629,638, 662,922,988,1�.44,1156, 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 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 heen
made,the Nlfater and Sewer Department shall be notified. It shall be unlawfu)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.
4d2.06. REPAIRS AND MAINTENANCE TO CONNECTION
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 to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required tb 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 repai�s,at a rate set annually by an administrative
policy. it shall be the responsibility of the applicant,owner,occupant ar 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 638,1156,1191)
_ _