Meter Swap '� � Z—�-�.- ��--7 4� -�l�SS'�S'�
� `�` INSTALLATION
G.�� AUTOMATIC METER READER
FWDLEY �.J
Address �� oCz� �-��
Name �_��i �`��,MPrtJ
Date 1�'"��(� .
Old Meter Number ��
Old Meter Reading
Replacement Na rl�.����b�
Replacement Reading �
Replacement Make ������_,,
ERT# J J� o� t_<_7�
Replacement ERT#
Remarks:
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� - 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
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line fram the main to the premise and a!I interior plumbing. (Per City code
402.06) 1 a(so hold the City of Fridley and/its emplayees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walls,floors or the curb
� stop box and service line. I understand 1 am aiso required to obtain a permit prior ta any work�if
necessary. �
Final meter readin ofd meter) `�� ��
B�
Name: Address: �v ` "`�� ���
Phone Number: Date: �V"�'r,�
.
Signature•
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464r 565,566,629,638,662,922,488,1144, 1156, 1191j
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 6e requi�ed 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 Department shall be notified. It shall be unlawful ta cover any connecting Ilne 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.
402.05. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property
line or a water sen►ice or sewer lead has been extended to the property fine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water(ine and sewer lines
necessary for connection of the premises from the main to the premises. tf 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 repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,accupant 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, 119].}