Meter Swap a,
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City o� Fridley ,
, Water De�artmeat
. Address ��l �' ..���, `�f, _
Name G., � l� �t� /�► rY�Yic h LY� _
Date �" ��' C�S�
Old Meter Number � ��3�5��--
Old Meter Reading ��!
Replacement No. ��b �1��/
' Replacement Readinq �
' Replacement Make ��ti 4��b�
' Remarks: � 2,�� �'►�'��''
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�.�,oF AUTOMATIC METER READER
FRIDLEY
Address
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Name �1N�d� 1'vA����'�'�
Date � �� ����
Old Meter Number 1
Old Meter Reading
Replacement No. E`����
Replacement Reading �
Repiacement Make ���
ERT# �������7 �
Replacement ERT#
Remarks
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees to da what is necessary ta replace the water meter, f understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per Cifiy code
402.06) 1 aiso hold the City of Fridiey and/its employees ha�mless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,watls,flaors or the curb
stop box and service line. I understand i am a{so required to obtain a permit qrior to any work,if
necessary.
Final meter reading(old meter) � � � ""���
Name: Address: ��(J� f ^ ��� �(
Phone Numb r: Date� �-\���
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Signature:
�Afitness Signature: � '�
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)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal 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 shat{pay a permit fee as provided in Chapter 11 of this Code. After such connecCion has been
made,the Water and Sewer Department shatl be notified. It shai{be uniawful 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 CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer fead at the property
line or a water service or sewer lead has been extended to the property fine for connection,the appiicant,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 annually by an administrative
po{icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service{ine from the premises to the main including debris c{earing or 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)