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Meter Swap '� �J-�i%� tC•'�5�-f�a`J —`i�r�:��;r � INSTALLATION a.noE AUTOMATIC METER READER FRIDLEY Address ��� � I�i��--� � Name ���.t� �L�ZS�t�+ Date �--���� Old Meter Number � U�J OId Meter Reading �� " ��1 Replacement No. A-+�'� �� ��+` Replacement Reading � Replacement Make ��7t� ERT# �?J�� �� �� Replacement ERT# Remarks: 7� Signed: F��t� f+�r�er�ric;� R�r� � , �G�F t�# Frid�y � �: s��-��--��� ��: a���2 Tj�ge= ,�M��er �+�d'�r: �es�t: Wa�r (��e� ` � J4d�� �16 6�U 11�1� �c�e� ��2-�6�-��4�d [�: ��►� �M�1 UrS _ . � : � ���� C�Id ��t�r# 1 �C��d�� a"�� �Ic! r�dir�g: � ��j�j p�� �1�v�r ��:�r # S� ���r �ieadir��: � E�-�.� M3�a��a53 , _ .�. � �__�_____�________.�_____. _ _ __ ��_________. �,�: �� � _ ����!a_ ____ � City of Fridley Water Department 6431 Universiiy Avenue NE Fridley,MN 55432 (763)572-3566 i/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 to the premise and all interior plumbing. (Per City code 402.06) I also 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,walis,floors or the curb � stop bax and service 1ine. I anderstand!am also required to obtain a permit prior to any work,if necessary. t�inal meter reading(old meter) �� v � O�O Name• Address: ` I ��� — Phone Number: Date: ��� t� Signature: Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMlNISTRATlON (Ref Ord 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 tine connecting the existing municipa!system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 shal�be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereta has 6een approved by the City as a proper and suitabte connection. 402.06. 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 fead has been extended to the property qne for connection,the applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water line 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/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative policy. It shal!be the respansibility 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 serrrice 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 638,1156,1191)