Meter Swap �4�cT�-�6�G�c�i
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u.NOF AUTOMATIC METER READER
FRIDLEY �
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Name��Pt`�'(�kC� c:'_'ti'�As1•1
Date ��—���`
Old Meter Number ' , ��"I � �
Old Meter Readin � � T ��
Replacement No. - ��`� �-s�
Replacement Reading �
Replacement Make �� �
ERT# ������� `�
Replacement ERT#
Remarks
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City of Fridley
Water Department
a:';�.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the p�operty owner
is liable for the water line from the main to the premise and all interior plumbing. (Pe�City code
402.06) 1 aiso hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walts,floors or the curb
" stop box and service line. 1 understand t am also required to obtain a pecmit prior to any work,if
necessary.
Final meter reading(old meter) 1 � ��
�"f r�c.�< �e rn.ctn3 Address• ff J�_,�� ���
Name• �i
6►2-32�-2�{ 61 l �--�--�,�
Phone Numbe • Dete:
Slgnature:
�tness Signature:
FRIDLEY CIlY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
` 402.05.FERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existir►g munic9pa{system and any house
or buiiding fos which the appl9cation is made,the owner or contractor shall be required to obtain a permit for such
co�nectian,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 notified. It shail 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 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 liabie for all repairs required to any water iine and sewer iines
necessary for connection of the premises from the main to the premises. ff the property owner requests
maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of the
maintenance and/or repairs, inc{uding any necessary street repairs,at a rate set annuatly by an administrative
policy. tt shall be the responsibility of the aQplicant,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 stog box for operability and at such height as will ensure that it remains aboye the finished
grade of the land or property. (Ref 638,1156, 1191)