Meter Swap � ���I� INST�TION v
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��.�� AUTOMATfC METER READER
FRIDLEY
Address � ���� ��CJ�
Name `���� �1� �'�`��5�
Date ��`��" ��
Old Meter Number � ���
Old Meter Reading � � t�0
Replacement No. ��fY1,� ����•�� ��
Replacement Reading Q�
Replacement Make
ERT# ���,;� �� ,
Replacement ERT#
Remarks:
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- • - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��wQ hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the properly owner
is tiable far the water line from the main to the premise and all interior plumbing. (Per City code
402.O6j 1 a[so hold the City of Fridley andjits employees harmless for any damages that may occur
while daing this operation. This to include,hut not limited to;valves,piping,walls,fioors or the curb
� stop box and s�rvice line. I understand I am also required to obtain a permit prio�to any work,if
necessary.
Final meter reading told meter) � � �� � �� -
Name• Address:_ ��`1 .� ���� —-
Fhone Number: y���\� '
Signature:
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_ Witness Signature: � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMIINISTRAT1aN
(Ref Ord No 113,464,565,566,629,638,b62,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constru�ting or repair of any water or sewer line connecting the existing municipal system and anyr house
or bui{ding for which the apptication is made,the owne�or contractor shall be required to obtain a permit for such
connection,and shali 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 shait be unlawful to cover any connecting line until an
inspection has 6een made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
4Q2.06. REPAIRS AND MAINTENANCE TO CONNEC710N
After the initiat 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�epairs required to any water line�nd sewer lines
nece5sary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be pertormed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administ�ative
policy. It shall be the responsibility of the applicant,owner,occupant or use�to perform standard maintenance of
the sewer se�vice line from the premises to the main including debris clearing or root cuttis►g 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 fand or property. (Ref 638,1156,1191j