Meter Swap �� ��� )��s�`��9�-v
� v INSTALLATION
GT1'OE AUTOMATIC METER READER
FRIDLEY
Address 5 7 �� ��.�k��'� � �
Name lS' �'�'`l� �-v5 �
Date � ~� � � �
Oid Meter Number t v� _t ����
Old Meter Reading d� � -5 �d
Replacement No. `�'f'S
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Repiacement Reading
Replacement Make � �- e�'
ERT# � � � d�.��S �
Replacement ERT#
Remarks: S��
l�c�'� Signed:
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�ity c�f Fridte�y
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Ad�: �24 �T� . 763 5�4-��70
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City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
. (763)572-3566
iJwe hereby authorize the City of Fridiey andJor its
employees to do what is necessary to replace the water meter. t understand that the properly owner
is liabie for the water line from the main to the premise and ali interior ptumbing. (Per City code
402.06) I also hoid the City of Fridley and/its employees harm{ess for any damages that may occur
while doing this operation. Tfiis to include,but not limited to;valves,piping,walis,floors or the curb
stop box and senrice line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(ofd meter) 6 ` ����
Name• Address:
Phone Number•���' �71��6��� Date• �—S 2�1 Z
Signature• .
�_
Witness Signature: . ,�����
FRIDLEY CITY CODE
CHAPTER 402.WATER,5TORM WATER,AND SANITARY SEWER
ADMIN{STRATION
(Ref Ord No 113,464,565,566,629, 638,662,922,988, 1144, 1156,1191)
A02.q5.PERMIT FEE
Prior to constructing or repair of any water or sewer{ine connecting the existing municipal system and any house
or building for which the appfication is made,the owner or contractor shall be required ta obtain a permit for such
connection,and shait pay a permit fee as p�ovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified, it shaN be unlawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection. �
402.06.REPAfRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water senrice 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 appiicant,owner,
or the occupant or user of such premises shalt be liable for alt repairs required to any water tine and sewer tines
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 shal{be cha�ged for the costs of the
maintenance andjor repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perForm sCandard 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 af the{and or property. (Ref 638,1156,1191)