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Meter Swap , , _ rl:�f.i�;��' '� .,�� ,-�,.� `� � ^ � ; INSTALLATION U.�� AUTOMATIC METER READER FRIDLEY Address �C�� i�l�� Name ��l��c ��'!'�� Date �'��"��, Qld Meter Number Old Meter Reading � � � Replacement No. — �� Replacement Reading (� Replacement Make ERT#��/��LD Replacement ERT# Remarks: l"�-� Signed: , , ��que�� f�r� � R� Ci�y arf Fridtey �. �1-12 �ate: '�/31Z0�2 T�e� inta��weE+�r �t f#�r. �t I'�ep . V►/ater . l�: �i 57'TH AVE t� . �4-�S s�a�a�: ��sn��r �b �a� ��: ��: � ��_ �t+d �let�r# j � '�,�� Id �adin�: �p��q 0�� ['��r �e�r � �� e�nr �teadin+�. � ��T� `��15 � � _ ; �___ _ _�_ � ��_�.....__�._ � ; �____� ___��_____ � .______ � ._._�� _�___ . ____,_ � �....-�� ---� � �a �_ �� _ _� �� .�� P City of Fridley Water Department 6431 University Avenue NE Fridtey,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridley and/or its emptoyees 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 ail interior piumbing. (Per City code 402.06� I also hotd the City of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited ta;valves,piping,walls,floors or the curb stop box and senrice line. t understand I am also required to obtain a permit prior to any work,if necessary. � in old meter �� Final meter rea� S( ) Name: Address: �� — ��' Phone Number: Date: S � ~l� Signature: ��:.- ' l A �� . Wltness 5ignature: �� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402A5. PERMIT fEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anjr house or buiiding far which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali 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 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 suitable connection. 402.06. REPAIRS AND MAINTENANCE TO CONNECTtON After the i�itial 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 line for connection,the applicant,owne�, 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 annuaVly by an administrative policy. It shall be the responsibility of the applicant,owne�,occupant or user to perform standard maintenance of the sewec service line from the premises to the main including debris clearing o�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 638,1156,1191) Request f+�r Ser�e Repc��r# �ity af Fridley Ref�ce No: GU�-12-5� t}ate: tfll3t2a12 F�equest Tj�e� [irr�d�aned-c�dc Gty M� Enk�d�: W�ndy��i t�ep�rtin�rt: Sewer C�izer�hi�ne: �� 585 57TH A1fE b!E ae��rc�e: � [)at�e: Pr�perty 43rHaer: Loea�ion��s: F�equest Details: Fio�owrr�had�deaned_ C�dc�y Main A�tia�T�Cen: �� /'1. I � `� �� i � i � I 1 � C � � � � f��fl3�+�P�7,: ��: J�� _ _ _ _ __ _ _ _ �,��: ; 0 �� I � '�'_� � _ � � � � � � � �_ � � : � � �� „ � � � � .. �� _- �-_ � � � � � � � � � � � � � � �, � � w I � _ � � � � � � � � � � � � � � � � � � ! � � ; � .� ' � � � , ; � � � ' � � � � � : � �, � � _ ' ..* ; � , � � , # � � x , � � � � � � ` ' � � � � ` � 3 � i � : � i �' � � � � ;� � ° � { , ; � ; � � .� � ' ` � � ; � , ; , � � � � � , � � � � ��