Meter Swap '� r'�:�-.-.� l ��'�_y=�-� _`�'r.�.�Ll v
� � INSTALLATION
�� AUTOMATIC METER READER
FRIDLEY
Address ��� I��12�1•�
Name Q�R�b��A�
Date �p����.
Old Meter Number �
O!d Meter Reading �
Replacement No. '`�7�1� � �
Replacement Reading �
Replacement Make � ��
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ERT# � J��C��_TL'1
Replacement ERT#
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Remarks
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
t/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 ta the premise and ail interior ptumbing. (Per City code
402.06) 1 aisn hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,floors or the curb
stop bax and service line. 1 understand{am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) ���� �
Name• Address• _ff��PS�`'l � � � c
Phone Number: Date: +�-'��V�� -
Signatu .
Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRA710N
(Ref 4rd No 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 li�e connecting the existing municipal system and anq house
or buitding for which the application is made,the owner ar contractor sha11 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 been
made,the Water and Sewer Pepartment shall be notified. It shall be unlawful to cover any connecting{ine untii 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.
4U2.06. 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 fine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required tb any water fine 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/ar repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shatl 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 operabifity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)