Meter Swap � �`�'�� INST LLATION���
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G.N� AUTOMATIC METER READER
FRIDLEY
Address �1��)l_.! � �����r
Name Ul�tJ ��i _ _
Date .�"' - ?.�►�"��
Old Meter Number � �
Old Meter Readin
Replacement No.
Replacement Reading �
Replacement Make ���`�ZQ
_ �ERT# ` �
Replacement ERT#
Remarks:
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City of Fridiey
Water Department
6431 University Avenue NE
Fridtey, MN 55432
(763)572-3566
Ijwe hereby authorize the City of Fridtey and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior piumbin�. (Per City code
402.06) i also hold the City of Fridley andJits employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
� stop box and service line. 1 understand I am aiso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � `�► �� � r�
Name• Address: ����� `���� S7
Phone Number: Date: �'�� ` I�_
5ignature:
Witness Signature: ���.+��
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADM{NISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156, 1191)
- 4D2.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anjr house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shal!pay a permit fee as provided in Chapter 11 of this Cade. 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 cannection.
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 senrice or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shatl be liable for ail repairs required to any water{ine and sewer fines
necessary for connection of the premises from the main to the premises. If the property awner 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, inciuding any necessary street repairs,at a rate set annuaNy by an administrative
palicy. It shall 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 wiil ensure that it remains above the finished
grade of the land or property. �Ref 638,1156,1191)