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��INSTALLATION
�.N� AUTOMATIC METER READER
FItlDLEY
Address t�����5c,'� �Zr
Name \ ��'NN�'k �r���1�
Date L�—� `—`�
Old Meter Number
Old Meter Readin �� ��
Replacement No. - �� ��
Replacement Reading �
Repiacement Make �
ERT# ����
Replacement ERT#
Remarks:
j�y� Signed:
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City of Fridiey
Water Department
6431 University Avenue NE
�ridiey,MN 55432
(T63)572-3566
��We hereby authorize the City of Fridley andJor its
employees to do what is necessary to replace the water meter. f understand that the p�operty owner
is liable for the water li�e from the main to the premise and ai{interior plumbing. (Per City code
402.05) I aiso hold tfie City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to i�clude,but not limited to;valves,piping,watls,floors or the curb
stop box and service line. f understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter read�ng(old meter) lJ �� � "�
Name• Address• ��Y�' l ��-�'��
Phone Number; Date: `�" � r~�1
Signature• `
Witness Signature: ���,�
U�
FRIDLEY CITY COQE �
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156, 1191}
402.Q5. PERMlT FEE
Prior to constructing os repair of any water or sewer fine connecting the existing municipal system and any house
or building for whicfi the apptication is made,the owner or contractor shal!be required ta obtain a perrnit for such
connection,and shap pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shaU be notified. lt shali be unlawful to cover any connecting line unti!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.
4Q2.Q6. REPAIRS AND MAINTENANCE TO CONNECTtON
After the initial connection has been made ta the water service cur6 stop box or the sewer tead at the property
line or a water service or sewer lead has been extended tothe praperty line#or connectian,the applicant,owner,
o�the occupant or user of such premises shall be liabie for all repairs required to any water fine and sewer lines
necessary far connection of the premises f�om the main to the premises. If the property owner reguests
maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of the
maintenance and/or repairs, incfuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicent,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operabiiity and at such height as wil!ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191}