Meter Swap � �`�v� INSTALLATION����
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G.�� AUTOMATIC METER READER
FRIDLEY
Address ��-`� `- :�)���!
Name�,,��(�L.,�T �,��� '.�.
Date �� (;�` ��
Old Meter Number Q ��
Old Meter Reading �� Q �
Replacement No.
Replacement Reading �
Replacement Make �
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Replacement ERT#
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City of Fridley
Water Departmen#
6431 University Avenue NE
Fridley,MN 5543Z
(763j 572-3566
lJwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interlor piumbing. �Per City code .
402.06) I also hold the City of Fridley and/its emptoyees harrnless for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,walis,floors or the curb
� stop box and service line. 1 understand i am also required to obtain a permi#prior to any work,if
necessary.
Finatmeter reading(old meter) � �� 1 ��l�l
Name• Address• 1GJ� 41 " �����
Phone Number: Date: ,,� �FJyt�
Signature• i� �7
Witness Signature: u���� '
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FRIDLEY CITY CaDE '
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADM1NiSTRATION
(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 line connecti�g the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shaif be required to obtain a permit for such
connection,and shall 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 shaH be unlawful to cover any connecting line untif an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectio�.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initlal connectio�has been made to the water service curb stop box or the sewer tead at the property
line or a water service or sevYer tead has been extended tothe property line 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 far connection of tfie premises from the main to the premises. if the property owner requests
maintenance service or repairs be performed by the City,the propertq owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. it shafl 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 debr+s clearing or root cutting and ta maintain the
water service curb stop box for operabifity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j