Meter Swap � ��'"��INSTAL T O�N�(�
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crnroF AUTOMATIC METER READER
FRIDLEY
Address ���� ����?�t��
Name �'�.Pr"T�F�'1�2.V?� �•'�'�k4�-T _
Date ��`'��—��
Old Meter Number �a � ��a�
OId Meter Reading � 4 �I�
Replacement No. A��E��� ��y
Replacement Reading (�
Repiacement Make �q��
ERT# � �� ����
Replacement ERT#
Remarks
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City of Fridley
. • Water Deparbnent
� 6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe hereby authorize the City of Fridley andlor its
employees to do what is necessary to replace the water meter. I understand that the
properiy owner is liable for the water li.ne from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/or its employees
harmless for any damages that may occur while doing this operation. This to include,but
not li.mited to;valves,piping,walls,floors or the curb stop box and service li.ne. T
understand I am also required to obtain a permit prior to any work,if necessary.
Name: Address:_L) �l ���1'���
Phone I�umber: Date:� I l��
Signature:
Witness Signature:���
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FRIDLEY CITY CODE
CHAPTER 402,WATER,STORM WATER ANll SANI'I'ARY SEWER
ADMIMSTRATION
(Ref Ord No 113,464,565,56b,629,63$,662,922,988, 1144, 1156, 1191)
4�2.05. PERMIT FEE
Pzior to constructing or repair of any water or sewer line connectiug the e�sting municipal system and any
house or builc�ing 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 pravided in Chapter 11 of this Code. After such
cannection has been made,the Water and Sewer Department shall be notified. It shall 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 stritable connection.
� 40Z.06. REPAIItS AND MA.INTENANCE TO CONNECTION
After the initial conneciion has been made to the water service curb stop box or the sewer lead at the
properly 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 premi.ses sha11 be liable for all repairs tequired to any .
water line and auy sewer lines necessary for connection of tha premises from the main ro the premises. If
the property owner requests maintenance services or repairs be performed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,ineluding any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility of the applicant,owner,occupant
or user to perform standard maintenance of the sewer service]ine 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 wi]1 ensvre that it remains above tbe finished grade of the land or property. (R.ef 638, 1156, 1191)